raw_content:
Narrative:
The investigation revealed a statement that it was a client that gave the clients vape pens, while there was another statement that a staff who no longer worked at the facility provided the clients vape pens. The investigation revealed that at least three clients denied that a staff gave the clients vape pens and puff balls. The investigation revealed that on at least two occasions staff confiscated vape pens from clients. One staff and the CSW that were interviewed revealed that no reports were made of clients using vape pens and puff balls. It is determined that the allegation cannot be corroborated. There is not a preponderance of evidence to Substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegations. A copy of this report was emailed to the facility representative.

Investigation Findings:
13On February 2, 2023 at 1:20 p.m., Licensing Program Analyst (LPA), Karen McGee delivered the findings of the Complaint Investigation conducted by LPAs Zeyda Loera and Elnora Smith. The LPA met with Administrator, Laura Daniels. On June 27, 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: the Administrator, Rehabilitation Mental Health Specialist, Ref. #1 and one Staff Ref. #2 (see Confidential Names, LIC 811 dated February 2, 2023) via telephone on December 2, 2022; one Staff, Ref. #3 and three clients, Ref. #4, 5 and 6 via telephone on November 14, 2022; one client, Ref. #7 via telephone on November 17, 2022; one Client, Ref. #8 via telephone on December 5, 2022; and one County Social Worker (CSW) for Ref. #5 via telephone on December 7, 2022. LPA Smith did not receive return telephone calls from Client Ref. #9 and six CSWs. The investigation revealed inconsistent statements regarding a staff providing clients with vape pens and puff balls. It revealed that the allegation was made, then recanted. 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 02/02/2023

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

visit_type: Complaint Investigation


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The only times the medications were not administered are either clients refused to take their medication and/or they ran away from the facility. Staff denied stating they have not heard any staff make inappropriate comments to any clients or seen clients being pushed by any staff. Clients who were interviewed stated they are given their medication. Clients denied stating they have not heard any staff make inappropriate comments to any clients and not seen any staff pushing anyone in the facility. Statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegations. Based on the information gathered, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegation are unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On February 15, 2023, at 2: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the findings of an investigation concerning to the allegations above. LPA met with the representative named above and discussed the findings. The investigation included confidential interviews that consisted of but were not limited to: three clients and two staff on November 16, 2022, two staff on December 1, 2022, two CSWs on December 7, 2022 and four clients refused to be interviewed. The LPA did not receive a return call from Ref. #1's CSW. The LPA reviewed Psychotropic medication administration records, JV-223, JV-220(A), Needs and Services Plans, special incident reports, and client's daily logs. It was alleged that staff did not administer medication to minor, staff made inappropriate comments towards minor, and staff pushed the minor. Staff denied the allegations. The medication is administered by trained staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 02/15/2023

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

report_type: Complaint Investigation

met_with: Laura Daniels, Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
During the investigation, the following statements were made to the LPA: 1. The facility accepts inappropriate clients. 2. The clients have no outpatient therapy visits; 3. The clients do not have any activities; 2. There are a lot of appointments that are cancelled. The LPA was not provided the name of specific clients or specific incidents to review as it relates to the statements. A review of the information on the Register of Facility Clients/Residents, the Placement Matching Information and PrePlacement Appraisal Information is within the scope of the criteria outlined in the Program Statement, Population To Be Served and specifically Intake. The interview with the Administrator corresponds with responsibilities for Intake at the facility. A review of the Verification of Mental Health Services forms reveals the following: All Clients Ref. #1-6 are provided services by the Child Guidance Clinic. The forms are signed and dated by the mental health professionals. The forms include the date of service and the type of service that was provided the client. A review of the Refusal of Treatment forms revealed the following: There were no forms indicating that clients refused mental health services. Client Ref. #1 refused Physical Examinations two (2) times. Client Ref. #2 refused treatment for Other (i.e. - hospital, medical assistance, fighting, etc.) three (3) times and Physical Examinations two (2) times. Client Ref. #3 refused Other five (5) times, Medication nine (9) times and Physical Examinations one (1) time. LPA observed no refusals of treatment for Client Ref. #4. Client Ref. #5 refused Other six (6) times, Medication six (6) times and Physical Examination two (2) times. Client Ref. #6 refused Other four (4) times, Medication three (3) times and Physical Examination four (4) times. Client Ref. #7 never arrived at the facility. The Administrator indicated that outsourced therapy appointments may have been cancelled due to graduation week and vacations, etc. by the therapists, but the facility did not cancel client appointments. A review of the Activity Calendars and Resident's Activity Reports for January, February and March 2023 revealed that the facility provides some activities for the clients outlined in the Program Statement. The Resident's Activity Reports includes the name of clients that participated in the activity. The LPA observed the following: The facility had at least 50% or more participation from clients in all activities, except on one occasion, it was less than 50%. A majority of Passive On site Recreational Activities, such as movies, games, sleep-overs, picnics, arts & crafts, etc. A majority of Activities of Daily Living (ADL), specifically to the store to purchase food or clothing and some hygiene, polish nails. Some Off site Active/Physical Recreation, such as going to the park, skating, nature walks. Some Wellness & Self-Regulation Activities, such as Group Discussion, Self Esteem Journaling. A couple of times of Leisure. Some Off site Passive Recreation, such a riding around the neighbor in the car. The LPA reviewed Incident Reports and Law Enforcement Contact Reports saved by Community Care Licensing (CCL) for January thru March 2023 and observed the following: Client Ref. #1 - None Client Ref. #2 - None Client Ref. #3 - Two (2) Incident Reports Client Ref. #4 - Two (2) Law Enforcement Contact Reports Client Ref. #5 - Six (6) Law Enforcement Contact Reports, four (4) Incident Reports Client Ref. #6 - One (1) Law Enforcement Contact Report, four (4) Incident Reports Interviews with CSW's for Ref. #1, 5 and 6 did not reveal any concerns with the facility. The LPA was unable to corroborate the allegations. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On July 13, 2023 at 3:10, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to Administrator, Laura Daniels. 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: Administrator via telephone and a therapist (see Confidential Names, LIC Ref. #8 dated July 13, 2023) on June 28, 2023; Administrative Assistant, Rachel Lucio via telephone on June 22, 2023. The LPA left messages for the Clients, Ref. #2 - 4, County Social Workers (CSWs) and conducted telephone interviews with CSW's for Ref. #1, #5 and #6 on July 12, 2023 and July 13, 2023, respectively. The LPA reviewed the following documentation: Register of Facility Clients/Residents for January, February and March 2023; Program Statement; Placement Appraisal Information and Preplacement Appraisal Information; Incident Reports and Law Enforcement Contact Reports; Verification of Mental Health Treatment Services; Refusal of Treatment forms; Activity Calendars and Resident's Activity Reports for January, February and March 2023. 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/13/2023

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

met_with: Laura Daniels


facility_name: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On July 26, 2023, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit to Brighter Horizon-Magnolia STRTP with the purpose of delivering findings for the above complaint allegations. LPA Lofton met with Laura Daniels, Facility Administrator, and discussed the findings. During the complaint investigation, LPA Lofton conducted confidential interviews with clients, facility staff, social worker,and witnesses. LPA was provided with information denying the allegation during these interviews. Confidential interviews revealed that C1 was not following the facility's policies and was constantly on unauthorize leave from the facility. Wiitnesses denied C1 was hit by any facility staff or any other client. It was reported that C1 had to be restrained due to her behavior. Based on the information obtained during the investigation, it cannot be determined whether the above allegations 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. Exit interview was conducted, and a copy of this report was emailed to the above-named facility staff. 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: Laura Daniels- Facility Administrator


raw_content:
Investigation Findings:
13On 10/14/23, Licensing Program Analyst (LPA) Johanna Lofton conducted a follow up inspection at Brighter Horizon Magnolia with the purpose of delivering the investigation findigs for the above allegation. LPA Lofton met and discussed the findings with Facility Manager Eunice Canchola. During the investigation, LPA Lofton interviewed the reporting party, facility staff and administrators. The allegation was denied by the interviewed parties. Furthermore, LPA Lofton reviewed the training requirements for the facility staff and it showed documentation of proper training. Based on the information obtained during the investigation, it cannot be determined whether the above allegation is true. 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. 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: Eunice Canchola- Facility Manager


raw_content:
Narrative:
The investigation of the above allegations was conducted by LPA Moroney, and it consisted of but was not limited to a review of records, including the foster children's needs and services plans, medical records, and interviews with three facility staff members (S1, S2) 4/19/23, S3 on 4/24/23, 3 of 4 (C2, C3, C4) on 4/19/23, (No statement was obtained from C1 due to not returning calls) and the CSW on 5/11/2., Reference Confidential Names Form LIC 811, dated November 2, 2023). A claim was made that the staff spoke inappropriately to a youth in their care and did not provide them with equal treatment compared to the other youth in their care. However, the staff (S1, S2, and S3) denied the allegations and stated that such behavior would not be tolerated and would be addressed accordingly. Staff claimed that they strive to provide the best possible care and environment for all children under their care. Moreover, the staff expressed surprise at the allegations as they had a good relationship with the youth, especially S1. S1 emphasized that her staff is professional and trauma-informed and that they were shocked by the accusations, considering the youth had given S1 a letter thanking her and the other staff for their good care and expressing sadness at leaving. According to statements from clients C2, C3, and C4, they have never witnessed any staff member mistreating or showing favoritism towards any particular client. The clients also reported feeling secure and content residing at their current STRTP. Information obtained from the CSW indicated that they have no concerns about the care and supervision that is being provided by the STRTP staff. Furthermore, C1 never disclosed any concerns to them during their multiple visits with their client. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the allegations are found to be unsubstantiated. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with Ms. Daniels.

Investigation Findings:
13On November 2, 2023, at 9: AM, Licensing Program Analyst (LPA) Juliet Robles on behalf of LPA Winston Moroney, conducted a complaint inspection of the above Facility and met with STRTP Administrator Laura Daniels. The purpose of the inspection was to deliver the findings for the above complaint allegations. On April 14, 2023, the California Department of Social Services Community Care Licensing Division received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff speaks inappropriately to youth while in care, Staff does not treat youth equally to other youth in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Juliet Robles 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 11/02/2023

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


raw_content:
Narrative:
The investigation revealed a statement that Ref. #3 attempted to pull the Client out the bathroom by their shirt. It revealed that the HOS Social Worker observed the Client's shirt was wrinkled when they arrived at the facility about 10:30 p.m. There was a statement that Ref. #3 was verbally assaultive to the HOS Social Worker when they arrived. Ref. #3 denied verbally assaulting the HOS Social Worker. A review of Ref. #3's Statement does not indicate that Ref. #3 forcefully removed the Client from the bathroom. Ref. #3's Statement indicates that Ref. #3 confronted the Client in the bathroom doorway and did not allow the Client to close the bathroom door. The investigation revealed that Staff Ref. #4 and #5 did not witness Ref. #3 hit, shove or forcefully remove the Client from the bathroom. The investigation revealed that the Client pushed Ref. #3 and they both fell on the floor. It revealed that the Client yelled and cursed at Ref. #3 calling Ref. #3 profane names and caused property damage in the facility. The investigation revealed that Ref. #4 observed the Client push the staff and heard the Client calling Ref. #3 names. The investigation did not reveal that the Client was a harm to themselves or others when Ref. #3 confronted the Client in the bathroom doorway and did not allow the Client to close the bathroom door. Based upon this, Ref. #3 violated the Client's Personal Rights. It is insignificant as to whether Ref. #3 hit, shoved or forcefully removed by grabbing the Client's shirt in order to remove the Client from the bathroom, because all are a violation of the Client's Personal Rights. Based upon the above, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. The facility is being cited for violation of Personal Rights: Interim Licensing Standards (ILS), Section 87072(c)(11), 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 including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning.- (see 809d) The LPA conducted an Exit Interview and provided a copy of this report, along with a Appeal Rights and Proof of Correction to the agency representative via email. The investigation revealed that Ref. #4 observed the Client push the staff and heard the Client calling Ref. #3 names. It revealed that Staff Ref. #5 denied using curse words or negative comments towards the Client and indicated that they got along with the Client. Ref. #5 indicated that when the Client was discharged the Client cried and gave Ref. #5 a hug. Ref. #5 denied disconnecting a telephone call that the Client tried to make. Ref. #4 denied seeing Ref. #5 disconnect the Client's telephone call and denied hearing Ref. #5 call the Client a curse word. The investigation did not reveal any statements that the Client did not receive their visits. The Administrator indicated that the Client was allowed visits with their family at the facility, but the family member's language and behaviors was inappropriate and became a safety issue for the other clients. The Administrator indicated that the Client's visits were requested to be resumed at the San Bernardino County Department of Social Services office. The LPA was unable corroborate the allegations. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was provided to the facility representative.

Investigation Findings:
On November 3, 2023 at 3:00 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of a complaint investigation involving Client (see Confidential Names, LIC Ref. #1 dated November 3, 2023) to the facility. The LPA met with Administrator, Laura Daniels. On June 22, 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: Head of Services (HOS) Social Worker, Ref. #2 and the Client at the facility on June 22, 2023; LPA Elnora Smith conducted telephone interviews with the Administrator on October 24, 2023, the County Social Worker (CSW) on October 25, 2023, and Staff Ref. #3 on October 26, 2023. Staff Ref. #3 provided LPA Smith with a written Statement. LPA McGee conducted telephone interviews with Staff Ref. #4 and #5 on November 1, 2023. LPA McGee reviewed the Statement, facility Human Resources Investigation, Needs & Services Plan and incident reports. The investigation revealed a statement that Ref. #3 hit the Client. LPA McGee received inconsistent statements as to whether the Client was hit in the jaw or the neck. According to the facility investigation, Ref. #3 admitted to forcefully removing the Client from the bathroom and shoving the Client. 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 11/03/2023

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


raw_content:
Narrative:
Staff denied the allegation stating staff intervene and separate the clients when they are in physical altercation. Statements from confidential interviews indicated that C1 did not have good relationship with other clients. Staff indicated that County Social Worker provided C1's medical condition and because of that, C1 feels others are making fun of them or talking bad about them when they are not. It has been on going issue. The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On December 8, 2023, at 8: AM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the finding of an investigation concerning to the allegation above. The LPA met with the representative named above and discussed the finding. The investigation included confidential interviews that consisted of but were not limited to: four clients and one staff on May 17, 2023, and one staff on June 13, 2023. The LPA was unable to interview two clients as they refused to be interviewed. The LPA was unable to contact the County Social Worker after several attempts. The LPA reviewed client's (C1; see Confidential Names LIC 811, dated December 8, 2023) Child and Family Team (CFT) Meeting Report, Incident Reports, and Discharge Summary. It was alleged that staff did not prevent inappropriate interactions between minors. It was alleged that the client (C1, see Confidential Names LIC was physically assaulted by another client and that other clients and staff are making fun of C1. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/08/2023

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

met_with: Deshay Peterson, Mental Health Rehabilitation Specialist


raw_content:
Narrative:
The facility is being cited for violation of Emergency Intervention Plan: Interim Licensing Standards (ILS), Section 87095.22 (g)(3) The Emergency Intervention Staff Training Plan is to be included as a component of the emergency intervention plan. The plan must include the following: The ongoing training required for existing personnel. (see 9099-D) An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail. The technician ordered the part and after a month of waiting, the facility was informed the part they needed was not in stock and no longer available. The facility purchased a new refrigerator. The facility had an additional refrigerator and deep freezer which they were able to use until a new refrigerator was purchased. During inspection of the facility, LPA McGee observed that the refrigerator was operational and cool on the inside. The LPA observed no water on the floor around the refrigerator and did not observe anything with the refrigerator that represented a harm to clients in care. There was no preponderance of the evidence to substantiate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violation occurred, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. A copy of this report, Confidential Names Form, and Appeal Rights were provided to the facility representative via electronic mail.

Investigation Findings:
13On December 20, 2023, at 3: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the findings of an investigation concerning to the allegations above. The LPA met with the representative named above and discussed the findings. The investigation included confidential interviews that consisted of but were not limited to: one staff on June 27, 2023, and Administrator on December 8, 2023. The LPA reviewed Pro-Act training certificates. It was alleged that staff do not have the required emergency intervention training. It was revealed that two staff's Pro-Act training was expired. It was revealed that the staff's Pro-Act certificate expired and they did not receive the training until approximately two months after their certificate expired. Based upon the above, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/20/2023

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


raw_content:
Narrative:
It was alleged that a facility staff engaged inappropriately with a minor by having therapy sessions with the office door closed at odd times, allowing said client to use the facility phone to communicate with an unknown individual who is not on their authorized contact list approved by and provided by the clients CSW. Confidential statements obtained from staff revealed that therapy sessions did occur at various times due to clients' outbursts and in the office, however, the office door was kept ajar during these sessions. Staff denied hearing or witnessing any inappropriate interactions with minors nor did any minors report such incidents to staff. Staff denied allowing any client to contact anyone who was not on their approved contact list. However, they did hear C1 bragging to the other clients that S1 did allow them to call an individual who was not authorized by their CSW. S1 denied the alleged allegation indicating that C1 did request during their therapy sessions to call an unknown individual that they referred to as a sister, however, were informed that C1 would have to address the matter with the facility managers and their CSW. C1 denied having heard or witnessed any inappropriate actions between staff and clients, further stating that they had informed staff of such an incident. C1 denied having any scratches on her abdomen indicating that if there were it would be from playing with the other clients in the home. C1 further disclosed that they were allowed to call an individual that she refers to as sister however did not provide any further information. C2, and C3 denied the allegations stating that they have never witnessed, nor have they heard any client bragging about staff allowing clients to use the phone nor any inappropriate interactions between staff and client. Information obtained from the CSW revealed that C1 does have an authorized contact list with only two individuals that she may have contact with under supervision, that is her biological mother and biological sister. CSW further disclosed that before this alleged incident, staff did contact them requesting to add the individual that was requested by C1, however. was denied due to this individual being an hindrance to C1s program. CSW indicated that they have no concerns to the care and supervision the facility staff is providing, and that staff keeps exceptional communication with them. Therefore, based on the information received, the above allegation(s) are determined to be unsubstantiated. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is found to be unsubstantiated. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the above facility staff member.

Investigation Findings:
13On December 28, 2023, at 12:58 pm, Licensing Program Analyst (LPA) Karen McGee delivered the findings of a complaint investigation on behalf of LPA Winston Moroney. LPA McGee met with Administrator, Laura Daniels. On June 23, 2023, the California Department of Social Services Community Care Licensing Division received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Staff engaged in inappropriate interactions with a minor, Staff allowed minor to have contact with an unauthorized person, and a minor sustained unexplained scratches. The investigation of the above allegation(s) was conducted by LPA Moroney, and it consisted of but was not limited to a review of records, including the client's needs and services plans, medical records, and interviews with three staff members S3 on 6/26/23, S2 on 6/28/23, S1 on 7/18/23, three clients (C1, C2, and C3) on 6/28/23 and the CSW on 7/28/23. (Reference Confidential Names Form LIC 811, dated December 28, 2023). 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 12/28/2023

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


raw_content:
Narrative:
It was revealed that the facility is not collecting money for services such as 1 on 1 funding for youth that are not receiving mental health services as all youths are receiving mental health services. It was also revealed that the staff did not make promises such as youths were going to get laptops, and cell phones but not being kept. It was revealed that it is not part of youths' needs and services as a service to be provided. For staff dress inappropriately, it was revealed that the staff dressed in tight fitting but not showing body parts, in the past. Statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegations. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted. Appeal rights explained and a copy of this report, and Appeal Rights were provided to the facility representative.

Investigation Findings:
13On February 15, 2024, at 1: PM, Licensing Program Analyst (LPA) Karen Suh conducted a follow-up complaint inspection to deliver the findings of a complaint investigation. The LPA met with the representative named above and discussed the findings. The investigation included confidential interviews that consisted of but were not limited to: Administrator, one staff, one client on August 10, 2023, and Mental Health Specialist on December 8, 2023. LPA Smith conducted interviews with Mental Health Specialist and Head of Service on January 23, 2024. The LPA was unable to obtain any statements from two youths as they refused to be interviewed. The LPA reviewed the Mental Health Program Approval certificate, Head of Service Schedule, and schedules with Child Guidance. It was alleged that facility does not have mental health services available for minors in care. It was revealed that the facility provides an individual and group sessions with the client's three times a week or daily as needed. The facility is also partner with Child Guidance for psychotherapy and psychiatry services as well as medication maintenance. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Karen Suh 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 02/15/2024

met_with: Deshay Peterson, Mental Health Specialist/Facility Manager


raw_content:
Narrative:
Based on the information obtained during the investigation, it cannot be determined whether the above allegations 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. Exit interview was conducted, and a copy of this report was provided to the facility's administrator.

Investigation Findings:
13On February 25, 2024, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit at Brighter Horizon-Magnolia with the purpose of delivering findings for the above complaint allegations. LPA Lofton met with Quantesha Allen, title, and discussed the findings. 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 request of being interview on different occasions. During the investigation, it was reported C1's behavior as to being violent and disrespectful towards the staff. C1 threatened S1 and tried to spit on her because S1 was trying to stop her from leaving the facility without an approved absence. Furthermore, it was denied that C1 was restrained or touch during the incident. 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 02/25/2024

met_with: Quantesha Allen- Senior Facility Manager


raw_content:
Narrative:
It was alleged that a minor was inappropriately touched by staff. During confidential interviews, the identified minor was uncooperative and refused to address the allegation. The minor reported no issues or concerns during placement. The social worker of the identified minor was not aware of any issues or concerns when minor was in placement. Other minors denied experiencing or witnessing inappropriate behavior by any staff. None of the minors disclosed witnessing the allegation. Staff reported they keep their boundaries while still ensuring the safety and security of the minors they supervise. Based on the information gathered, the allegation is unsubstantiated. Although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met. An exit interview was conducted, and copies of the following licensing reports were provided: LIC 9099, LIC 9099-C, LIC Confidential Names and appeal rights forms. There were no deficiencies cited during this inspection.

Investigation Findings:
13On March 22, 2024 at 10:20AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility. LPA met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above allegation. The investigation was conducted by Investigations Branch (IB) Investigator Romelia Munoz and the undersigned LPA. The investigation into the allegation includes the following: LPA conducted the 10-day inspection at the facility on 10/16/23. LPA requested copies of pertinent records and attempted to obtain a statement from two minors who were present, but they reported being ill. LPA interviewed two minors at school and attempted to interview a minor at another school. Investigator Munoz made attempts to interview the minor on 10/20/23 and 10/30/23. The minor agreed to be interviewed on 11/6/23. Between 11/6/23 and 3/12/24, additional information was obtained from facility staff and county placement agency staff. Records were reviewed including, but not limited to the Personnel Report, Register of Clients in Placement, Incident & Law Enforcement Contact Reports, Discharge Report and Needs and Services Plan. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 03/22/2024

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

met_with: Angela Wright, Senior Facility Manager


raw_content:
Narrative:
All interviewed parties denied not being able to use the restroom or minors being grabbed by staff members. Facility staff reported providing breakfast, lunch, dinner, and snacks to clients. Clients confirmed being properly fed at the facility. Clients denied observing staff throwing any clients food away. All interviewed parties reported they have no restrictions when requesting to use the phone to contact family. Based on the information obtained during the investigation, it cannot be determined whether the above allegations 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. Exit interview was conducted, and a copy of this report was provided to the facility's administrator.

Investigation Findings:
13On April 27, Licensing Program Analyst (LPA) Johanna Lofton, conducted a follow up inspection visit at Brighter Horizon-Magnolia with the purpose of delivering findings for the above complaint allegations. LPA Lofton met with Mikiba Boyd, Facility Manager and discussed the findings. During the complaint investigation, LPA Lofton conducted confidential interviews with facility staff, clients, and County Social Workers. LPA Lofton attempted to contact the complainant with no success. All the allegations were denied during the confidential interviews conducted during the investigation. LPA Lofton attempted to interview C1 on different occasions with no success. Interviewed clients and facility staff denied being hit by staff members. It was also denied that staff members yell at clients in care or are verbally abusive towards them. It was reported the staff do raise their voice when necessary due to situations but not to any specific client. 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 04/27/2024

met_with: Mikiba Boyd- Facility Manager


raw_content:
Narrative:
Interviews with STRTP staff on 04/10,Staff 1,2,3, (S1,S2,S3) Interviews with 4 out of six foster youth on 04/18,06/03,06/19, Foster Youth 1,3,4,6 (FC1, FC3, FC4, FC6). (Reference Confidential Names Form LIC 811, dated June 27, 2024) Allegation#1. Staff do not ensure that minors are provided with adequate supervision. Four out of the six youths were interviewed for the investigation. Youth interviews consistently reported staff presence. Four youths revealed that they felt monitored and supported at all times. STRTP staff consistently reported supervision practices, including regular check-ins with the minors to ensure their safety and well-being. Allegation#2. Staff do not report incidents involving minors in care as necessary. All four youth interviews revealed the procedure when a youth attempts to leave without permission: staff follow the client and report the incident to law enforcement. Upon return, clients are checked for weapons, asked if they need medical care, and required to talk with a professional either individually or in a group session. STRTP Staff consistently reported incidents promptly to law enforcement when necessary and documented them internally for review and follow-up. All STRTP staff reported that incident reports are submitted to the licensing department. Allegation#3. Staff do not accord privacy to minors while in care. According to the youth interviews, their privacy was consistently respected. The four youth interviews revealed that staff respect privacy and provide personal space, contradicting the allegation that staff do not accord privacy to minors while in care. STRTP Staff interviews revealed that staff are respectful of youths' privacy, ensure they knock before entering rooms, and provide personal space when required. The STRTP also designated part of the garage as a separate area for conducting personal support sessions. The STRTP aimed at providing a private and quiet space for youths to engage in personal support sessions, away from the common areas of the house. Based on the confidential interviews and records reviewed, the preponderance of evidence for the above allegations were not met, the finding is unsubstantiated. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided the signed LIC 9099 to the STRTP representative.

Investigation Findings:
13On 06/27/24, 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 inspection's purpose was to deliver the finding for the above allegation. On 04/08/24, 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): 1. Staff do not ensure that minors are provided with adequate supervision. 2. Staff do not report incidents involving minors in care as necessary. 3. Staff do not accord privacy to minors while in care. LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these methods. 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: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 06/27/2024

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


raw_content:
Narrative:
The investigation revealed that Ref. #1 tested negative for pregnancy at a medical facility. It revealed that Ref. #1 was taken to the medical facility by staff. The investigation revealed that Ref. #1 left the facility without permission on several occasions hanging out with males that appeared older than Ref. #1. On one occasion a staff was able to confirm that one of the males was 20 years old. The investigation revealed that on another occasion after leaving the facility without permission, Ref. #1 snuck a male in the facility. The LPA was unable to obtain details on how Ref. #1 snuck the male in the facility. It revealed that a staff found the male under Ref. #1's bed and escorted the male out the facility. The staff were unable to confirm the males age. The investigation which included interviews of the staff and Law Enforcement Contact Reports revealed that the staff followed the facility policy for clients that leave without permission. The LPA was unable to corroborate the allegation. There was no preponderance of the evidence to substantiate the allegation. So, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation 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:
13On July 31, 2024 at 3:30 p.m., Licensing Program Analyst, Karen McGee, delivered the findings of a complaint investigation regarding client (see Confidential Names, LIC Ref. #1 dated July 31, 2024). The LPA met with Facility Manager, Jachi Harrell. On March 8, 2024, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegations. Interviews were conducted that included, but were not limited to: Facility Manager, Mikiba Ward, via telephone on July 29, 2024, the Administrator and two Senior Facility Managers, Angela Wright and Quantesha Allen, via telephone on July 30, 2024. After several attempts, the LPA was unable to interview Ref. #1 nor their authorized representative. The LPA reviewed the Needs and Services Plan, and Law Enforcement Contact Reports. There was a statement made that minor, Ref. #1, 14 years old, might be pregnant by an adult male. 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 MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER: VISIT DATE: 07/31/2024

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

met_with: Jachi Harrell


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Interviews with two clients revealed they received their allowance. The LPA was provided only one Record of Client's/Resident's Safeguarded Cash Resources out of four. So, the LPA determines to corroborate the allegation. A review of the records revealed that the documents provided to the LPA were incomplete. The LPA was provided only one of four Record of Client's/Resident's Safeguarded Cash Resources. The facility provided Client/Resident Personal Property and Valuables and Clothing Inventory for five clients. The LPA observed only one Client/Resident Personal Property and Valuables and Clothing Inventory out of five that showed that client's received an adequate amount of clothing. Based upon the above, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. A copy of this report and the Appeal Rights were emailed to Ms. Wesley.

Investigation Findings:
On May 6, 2021, Licensing Program Analyst (LPA), Karen McGee, emailed the findings of the Complaint Investigation Report to Administrator, Pincess Wesley. On February 5, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator via telephone on April 27, 2021 and April 28, 2021; two Clients (see Confidential Names, LIC Ref. #1 and #2 dated May 6, 2021) via telephone on April 27, 2021. The LPA observed the following documents: Record of Client's/Resident's Safeguarded Cash Resources; Client/Resident Personal Property and Valuables and Clothing Inventory; Administrator's Certificate and Resume. The LPA conducted a tele-inspection on April 27, 2021. The investigation revealed that only one out of five Client/Resident Personal Property and Valuables and/or Clothing Inventory showed that clients received an adequate amount of clothing. Interviews with two clients revealed they received the allotted amount of clothing, but there were no records to corroborate the statements. There were confidential interviews that revealed that a staff purchased a client's clothing, because the facility did not. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 05/06/2021

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

met_with: Princess Wesley

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
There were statements that the refrigerator was broken. The Administrator provided the LPA with a tour of the facility via tele-inspection. The LPA observed a new refrigerator in the kitchen and a refrigerator in the garage. The investigation revealed that the ratio for night time staff is one staff to six clients. The Administrator stated that during the day, it is two staff to six clients. The investigation revealed no reports of staff not being present at a facility. The LPA was unable to corroborate the allegation. There were statements that the former Administrator did not spend the required amount of hours at the facility. The LPA was unable to interview the former Administrator. It revealed that the current Administrator works five days a week sometimes arriving at 7 a.m. and leaving at 8 p.m. The current Administrator stated that she tries to split her days between two facilities, Sequoia and Magnolia. There were statements that the staff did not have a copy of the Emergency Disaster Plan or the Facility Sketch located in the Program Statement. There were no statements that the staff themselves attempted to obtain the information from the Magnolia facility. There was a statement made that there were not sufficient utensils at the facility. An interview with the current Administrator revealed that the facility uses plastic utensils due to the Covid pandemic. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was emailed to Ms. Wesley.

Investigation Findings:
On May 12, 2021, Licensing Program Analyst (LPA), Karen McGee, emailed the findings of the Complaint Investigation Report to Administrator, Pincess Wesley. On February 5, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegation. The investigation included confidential interviews that consisted of, but were not limited to: Administrator via telephone on April 27, 2021 and April 28, 2021; The LPA observed the following documents: Personnel Reports dated February 23, 2021 and April 22, 2021; staff First Aid and CPR Certificates; current Administrator certificate and resume; the LPA reviewed notes from LPA Claudia Portillo regarding a conditional administrator certificate request that was pending. The LPA conducted a tele-inspection on April 27, 2019. The LPA did not observe First Aid and CPR Certificates for all staff on the February 22, 2021 or the April 22, Personnel Reports. The LPA observed 16 current staff on the April 22, Personnel Report. LPA observed certificates for seven staff and did not observe certificates for nine staff. Based upon the above, it is determined that the complaint is substantiated. The complaint is valid because the standard of a preponderance of evidence has been met. A copy of this report and the Appeal Rights were emailed to Ms. Wesley. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA This is an official report of an unannounced visit/investigation of a complaint received in our office on 02/05/2021 and conducted by Evaluator Karen McGee PUBLICCOMPLAINT CONTROL NUMBER: 32-CR- FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: ADMINISTRATOR:PATRICIA MOSLEYFACILITY TYPE: ADDRESS: PACER VALLEY COURTTELEPHONE: (661) 654- CITY:BAKERSFIELDSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 05/12/ UNANNOUNCEDTIME BEGAN: 07: PM MET WITH:Princess WesleyTIME COMPLETED:09: PM 91. Clients not treated with dignity. 2. Facility is not in good repair. 3. Facility does not have adequate nighttime supervision. 4. Administrator present in facility less than 20 hours per week. 5. Staff does not have access to facility's disaster plan on file at facility. 6. Staff does not have a facility sketch at facility. 7. Facility does not have enough utensils for children. INVESTIGATION FINDINGS: On May 12, 2021, Licensing Program Analyst (LPA), Karen McGee, emailed the findings of the Complaint Investigation Report to Administrator, Pincess Wesley. On February 5, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator via telephone on April 27, 2021 and April 28, 2021; two Clients (see Confidential Names, LIC Ref. #1 and #2 dated May 6, 2021) via telephone on April 27, 2021. The LPA observed the following documents: Personnel Report: February 23, 2021 and April 22, 2021; First Aid and CPR Certificates: LPA did not observe First Aid and CPR Certificates for all the staff on the February 22, 2021 or the April 22, 2021; Current Administrator certificate and resume; the LPA reviewed notes in the LPA Claudia Portillo regarding a conditional administrator certificate request that was pending. The LPA conducted a tele-inspection on April 27, 2019. The investigation revealed statements that a client Ref. #2 was not treated with dignity. Interviews with Ref. #1 and #2 did not reveal evidence that the clients were not treated with dignity. The LPA was unable to corroborate the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: 2 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 05/12/2021

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


raw_content:
Narrative:
Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that an alleged violation occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this allegation. A copy of this complaint was emailed to Mr. Ott.

Investigation Findings:
On June 12, 2021, Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Lead House Staff, Tavion Ott. On February 18, 2021, the Community Care Licensing (CCL) Regional Office (RO) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: Administrator Princess Wesley, via telephone on April 27, 2021 and April 28, 2021; two Clients (see Confidential Names, LIC Ref. #1 and #2 dated May 6, 2021) via telephone on April 27, 2021. There were statements made that there were no mental health services provided to the clients. Then a statement was made that the services were provided via Zoom. An inconsistent statement was provided to the LPA regarding the mental health services. There was a statement made that money was not provided for activities for the clients. The current Administrator provided the LPA a list of activities for the clients. Interviews with the clients did not reveal evidence that activities were not provided. It is noted that the allegations were made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 06/12/2021

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

met_with: Tavion Ott


raw_content:
Narrative:
It was alleged that, staff denied minor from attending religious services. Based on interviews conducted with (S1) and (S2) denied the allegation. (S1) and (S2) stated that the minor did in fact attend religious services and was accompanied by (S3). (C1) had a One-on-One staff that was (S2) during walks or while attending religious services. (C1) did not have a specific religion and would switch from one religion to another. It is noted that the allegations were made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. It was alleged that; staff is restricting a minor while in care. Based on interviews conducted with (S1), (S2) and (S3) denied the allegation. (C1) had a 1 on 1 staff and was not restricted on walks or while attending religious services. (C2) and (C3) denied that staff is restricting minors while in care. It was alleged that; Staff is threatening a minor while in care. Based on interviews conducted with (S1), (S2) & (S3) all staff denied the allegation. Based on confidential interviews, (C2) & (C3) denied the allegations regarding the alleged incident. It is noted that the allegations were made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. LPA Chavez did not find corroborating evidence to substantiate the allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted, a copy of this report as well as the LIC 811 was provided to the facility representative via email with signatures.

Investigation Findings:
13On June 16, 2021 at 10:40AM, Licensing Program Analyst (LPA) Janeth Chavez delivered the findings of a complaint investigation concerning the allegations above. LPA Chavez spoke with the facility representative named above and discussed the findings. During the investigation, LPA Chavez conducted a record review on 02/12/21 and obtained copies of client's needs and services plan (NSP) and current special incident reports. LPA obtained copies of the LIC 500, staff contact information, and staff trainings. LPA Chavez conducted confidential interviews with Facility Manager, Staff 1 (S1) and Staff 2 (S2) on 02/12/21, Staff 3 (S3) on 06/16/21, County Social Worker (CSW) and Client 1 (C1) on 2/12/21, Client 2 (C2) on 02/12/21, and Client (C3) on 06/16/21 (See Confidential Names List Form LIC 811 dated 06/16/2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 06/16/2021

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

met_with: Princess Wesley, Administrator


facility_name: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIA

raw_content:
Narrative:
. The confidential interviews conducted did not collaborate the allegation. During a virtual tour of the facility LPA observed the medication cabinet was locked and in the staff office. There was no corroborating information obtained through interviews nor observations to confirm the allegation. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On June 24, 2021 at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with Facility Administrator Princess Wesley. During the course of the investigation, LPA Cabral interviewed one facility staff on 3/5/21 and three facility staff 6/15/21. LPA interviewed two clients and attempted to interview one client on 6/15/21 (see Confidential Names Form LIC 811 dated June 24, 2021). LPA attempted to interview three county social workers on 6/15/21. The facility staff denied the allegation that medication is accessible to the clients in care. The facility staff indicated the client's medications are kept in the staff office and are located in a cabinet that is always locked. The facility staff stated no clients have access to their medication without staff administering the medication UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral 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: Brighter Horizon Treatment Center: Sequoiafacility Number: Visit Date: 06/24/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32. The confidential interviews conducted did not collaborate the allegation. During a virtual tour of the facility LPA observed the medication cabinet was locked and in the staff office. There was no corroborating information obtained through interviews nor observations to confirm the allegation. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of 2

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


raw_content:
Narrative:
Information obtained from facility staff and C2 revealed that staff did address C1 by the proper pronouns and further disclosed that C1 from week to week would change C1's pronouns depending on who was around C1 at that specific time. S2 further indicated that during one of C1's CFT meeting S1 did use the "wrong pronouns" when speaking of C1 to C1's therapist and CSW, however S1 indicated that the day prior to the meeting C1 had requested to be identified by the pronouns he/him. S1 further indicated that S1 was corrected by C1's CSW and therapist and when trying to explain on why theses incident occurred S1 was shut down and advised to follow C1's NSP. As to the allegation of not preventing C1 from AWOLING, staff stated that they will shadow clients while trying to verbally redirect the client to come back to the facility and will file a missing person's report with the local Police Department as needed. As to the allegations of not meeting minors needs and not reporting incidents, Staff denied the allegations further indicating that staff provides whatever is necessary for each of their clients and adheres to each client's individual needs and services plan. Facility staff indicated that all incidents are reported in a timely manner to the proper agencies. Information obtained from CSW and CASA worker indicated that all though an incident of referring to C1 with the inappropriate pronoun occurred there was a reasonable explanation, in that C1 has a history of changing request of different pronoun usage from day to day. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegations may have happened or is 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 Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 11:00 a.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection to Brighter Horizon Treatment Center and met with Princess Wesley Facility Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. On February 8, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Staff no properly identifying with minor's gender pronouns; Staff did not prevent minor from AWOLING; Staff did not report an incident to authorized party and Staff is not meeting minor's needs. The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records and interviews with S2 and S3 on 2/18/21, S1 on 4/22/21, C2 on 4/22/21, C1, C3 and C4 were AWOL at the time of attempted interviews, CSW on 4/22/21 and CASA worker on 4/22/21. (Reference Confidential Names Form LIC 811, dated July 23, 2021). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/21/2021

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

met_with: Princess Wesley - Administrator


raw_content:
Narrative:
The investigation to the above allegations was conducted by this LPA and it consisted of, but not limited to a review of records, including the children needs and services plans, medical records, staff files and interviews with three staff S1, S2, S3 on 6/16/21, C1, C2, C3 and C4 on 6/16/2021. (Reference Confidential Names Form LIC 811, dated July 28, 2021). Staff and clients denied all allegations further indicating that all medications are locked and stored away in the staff office. All medication is administered in a timely manner and logged in the medication binder. Medication that has expired is properly disposed of at the nearest medication disposal drop box. Staff indicated that any incident involving medical attention is priority and is treated as such. Staff denied knowing any staff member driving the facility vehicle without a valid driver's license and further indicating that the facility vehicle is operating and is serviced when needed. As to the allegations of clients being denied access to the facility phone and not having adequate food supply on hand, clients denied the allegation and further disclosed that they do have access to the facility phone and have an ample amount of food. Furthermore clients indicated that they eat three meals a day with an option for snacks in between meals. Staff and clients indicated that two to three staff members are present at the facility depending on the circumstances. As to the allegation of not having a qualified Administrator, documents obtained support the qualification and adhere to the Interim Licensing Standards Chapter 7. Version 3. Therefore, based on the information received, the above allegations are determined to be unsubstantiated. Although the allegation may have happened or is 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 Facility Administrator. There are no deficiencies to be cited at this time. Exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Administrator.

Investigation Findings:
13On July 28, 2021, at 10:19 a.m., Licensing Program Analyst (LPA) Winston Moroney, conducted an inspection at Brighter Horizon Treatment Center (Sequoia) and met with Princess Wesley. The purpose of the inspection is to deliver the findings for the above complaint allegations. On February 18, 2021, the California Department of Social Services Community Care Licensing Division received a complaint from Centralized Complaint and Information Bureau (CCIB) with the following allegations: Facility is mismanaging medications; Staff did not provide timely medical treatment; Staff drive without valid licenses; Facility does not have operating vehicle; Minors denied access to phones; Facility does not have adequate food supply on hand; Facility not adhering to staff to child ratios and facility does not have qualified Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/28/2021

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


raw_content:
Narrative:
It was alleged the facility failed to ensure clients in care did not receive their initial physical exams within the required 30-day time period. Statements obtained from interviews conducted with CSW revealed that three out of four clients received their initial physical exam within the required amount of time. One Social Worker indicated her client habitually ran away when his appointments were scheduled and led to a delay in receiving his physical exam. It was alleged C1 was denied care services when he was yelled at by staff and asked for staff to contact the psychiatric response telephone line. Staff denied the allegations. Statements obtained from interviews conducted with staff indicated C1 was afforded psychiatric services as needed or as requested. Statements obtained from interviews conducted with staff indicated C1 was triggered when staff monitored his cell phone usage and when he lacked attention. LPA Larios was unable to obtain a statement from C1 or his CSW regarding the allegation due to C1's placement facility and CSW not returning phone call contacts made by LPA Larios. Statements obtained from confidential interviews conducted indicated staff did contact psychiatric response teams as needed for clients in care. It was alleged the facility did not follow proper food handling practices. Staff denied the allegations. Statements obtained from interviews conducted with staff revealed food is stored properly in containers and on shelves. Statements obtained from interviews conducted with CSWs revealed there were no observations made during in person visits related to improper food handling or storage. It was alleged the facility does not provide a safe and healthy environment for clients. Staff denied the allegations. Statements obtained from interviews conducted with staff were consistent and indicated the facility garage is used as a storage and game room for clients. Furthermore, staff denied cleaning supplies are left out after use nor is trash left in the garage. Statements obtained from interviews conducted with CSW revealed there were no observations made indicating cleaning supplies were left out at the facility or hazardous materials were left in the garage during in person visits. Statements obtained from confidential interviews conducted did not reveal witnesses to the allegations. It was alleged the facility does not provide proper furniture for clients. Staff denied the allegations. Statements obtained from confidential interviews conducted indicated clients have appropriate dresser space as required. Statements obtained from interviews conducted with CSW revealed appropriate dresser space for clients was observed during in person visits. It was alleged the facility did not supply linens to clients in care. Staff denied the allegations and reported linen is stored in a hallway closet and accessible to clients as needed. Statements obtained from confidential interviews conducted revealed that linens for bathing and hand washing are accessible to clients as needed. Based on information obtained from interviews conducted and records reviewed the allegations were found unsubstantiated. Although, the allegations may have occurred or are valid, the standard of the preponderance of evidence was not met to prove the allegations occurred. Exit interview conducted and a copy of this report was provided to the facility representative. No deficiencies were cited during this inspection.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/30/21 at 11: AM. During the inspection LPA Larios met with Clinical Supervisor (CS) Alicia Aguirre and inspected the facility inside and out. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted interviews with four County Social Workers (CSW) on 7/21/22 and 7/22/21, two Staff on 7/29/21, two Clients on 7/21/21 and 7/28/21. Three Clients were unable to be interviewed due to being run-away or the inability of the authorized representative or placement facility to assist with scheduling an interview. (Reference Confidential Names list LIC811 dated 7/30/21) A record review was conducted on 3/8/21 and LPA Larios obtained copies of staff and client rosters, client medical consent forms and staff training records. 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/30/2021

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

met_with: Alicia Aguirre


raw_content:
Narrative:
It was alleged the facility did not have medical consent forms on file for clients in care. On 3/8/21 a records review was conducted by LPA Larios and the facility provided LPA Larios copies of clients (C1, C2, C3) consent forms but, other clients (C4, C5) were not furnished. During an interview with staff (S1) on 7/29/ LPA Larios inquired about the missing consent forms and was informed by S1 that she needed to consult with the Director regarding the whereabouts of the documents. On 7/30/ LPA Larios conducted a subsequent record review and obtained a copy of C4's medical consent form. LPA Larios observed the consent form unsigned by the clients authorized representative. Based on information obtained from interviews conducted and records reviewed the allegation is substantiated. The facility did not ensure the clients medical consent forms were kept on file as required by the Interim Licensing Standards (ILS) Version 3.1, section 87070(b)(10). The allegation is valid because the preponderance of the evidence has been met. Facility cited for violation of Interim Licensing Standards Version 3.1, section 87070(b)(10): Children's Records. A record review on 3/8/21 revealed that clients (C4, C5) did not have medical consent forms signed by authorized representatives on file. Exit interview conducted and a copy of this report along with a LIC9099D and LIC811 were provided to the facility representative. Appeals rights were discussed and provided.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 7/30/21 at 11: AM. During the inspection LPA Larios met with Clinical Supervisor (CS) Alicia Aguirre and inspected the facility inside and out. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegation. During the course of the investigation LPA Larios conducted interviews with four County Social Workers (CSW) on 7/21/22 and 7/22/21, two Staff on 7/29/21, two Clients on 7/21/21 and 7/28/21. Three Clients were unable to be interviewed due to being run-away or the inability of the authorized representative or placement facility to assist with scheduling an interview. A record review was conducted on 3/8/21 and LPA Larios obtained copies of staff and client rosters, client medical consent forms and staff training records. SubstantiatedEstimated 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 07/30/2021

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


raw_content:
Narrative:
It was alleged that staff did not prevent minors from AWOL. Reporting Party stated the facility is not reporting incident reports and that there are minors that have AWOL and it has not been reported by staff. Reporting party could not provide specific dates of when this incident allegedly happened. Staff denied the allegation. Based on interviews conducted with staff it was revealed that staff redirects and counsels minors in care when they try to AWOL. Also, that when C1 would AWOL staff would follow until they lose sight of the minor and then contact Bakersfield PD. On 06/14/2021, C1 was detained by law enforcement and has not returned to the facility. Staff interviewed had direct contact with minor in question and denied the allegation. It is noted that the allegation was made during the COVID Pandemic during Stay-At-Home Orders issued by the State effecting services and activities for the clients. Based on confidential interviews conducted with minors it was revealed that C1 was no longer in the facility and they had no knowledge of the alleged incident. However, minors revealed that staff does try to redirect, counsel and follow when they try to AWOL. LPA Chavez did not find corroborating evidence to substantiate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, a copy of this report as well as the LIC 811 was provided to the facility representative.

Investigation Findings:
13On October 19, 2021 at 12: PM, Licensing Program Analyst (LPA) Janeth Chavez delivered the findings of a complaint investigation concerning the allegation above. LPA Chavez spoke with the facility representative named above and discussed the findings. During the investigation, LPA Chavez conducted a record review on 09/07/21 and obtained copies of client's needs and services plan (NSP) and current special incident reports. LPA obtained copies of the LIC 500 and staff contact information. LPA Chavez conducted confidential interviews with Reporting Party on 10/15/21. LPA conducted interviews with Staff 1, 2, 3, and Administrator on 10/19/21. LPA attempted to interview C1 but was unable to locate. LPA conducted confidential interviews with Client 2,, 3 & 4 on 10/19/21. (See Confidential Names List Form LIC 811 dated 10/19/2021). Report Continues on Next Page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Janeth Chavez 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 10/19/2021

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

met_with: Princess Wasley


raw_content:
Narrative:
Staff attempted to redirect clients, called law enforcement and reported the AWOLs. The confidential interviews conducted did not collaborate the allegation. The placement agency social workers indicated the incident happened while the clients were AWOL from the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegation. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On November 1, 2021 at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with Facility Manager Janae Allen. During the course of the investigation, LPA Cabral interviewed three facility staff, two clients and attempted to interview two clients on 6/24/21 (see Confidential Names Form LIC 811 dated November 1, 2021). LPA interviewed two county social worker and attempted to interview two county social workers on 6/25/21. LPA reviewed other agencies investigative narrative and the facility's incident reports on 10/30/21. The facility staff denied the allegation that a client was assaulted by another client while in care. The facility staff indicated clients were AWOL from the facility when the incident happened. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral 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: BRIGHTER HORIZON TREATMENT CENTER: SEQUOIAFACILITY NUMBER: VISIT DATE: 11/01/2021

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

met_with: Janea Allen, Facility Manager