summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2025, Licensing Program Analyst (LPA) Joon Choi conducted a pre-licensing inspection for Brighter Horizon Treatment Center-Cedar Short Term Residential Therapeutic Program's (STRTP) license. LPA met with administrators/applicants, Erin Green and Akila Crane. The facility was toured both inside and out with the applicants. Currently there is no client placed in the facility. The facility is applying to serve six minor clients. The residence was originally a five-bedroom single story-house with two bathrooms. Two of the bedrooms were modified to now serve as a staff office and a therapy room. The facility consists of a living room (common area), a kitchen, dining area, staff office, therapy room, the garage, and the backyard. Within the facility there was storage rooms in the hallway where the medication, linen and cleaning supplies are kept. The facility has 3 bedrooms and one full bathroom designated for clients. There is one bathroom designated for staff only. The bedrooms were arranged so that no more than two clients share a room, and there will be one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closet space for children's belongings. Towels and linens were stored in a cabinet by the clients' bedrooms. The smoke detectors and carbon monoxides were checked and were working properly. The fireplace was in the living room area, and it was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where clients would have access. The medications and sharp objects/knives will be locked and stored in a storage room in the hallway. Cleansers/chemicals were locked and stored in a hallway storage room as well. The first aid kits in the hallway storage room and staff office. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 93.8 degrees. There was adequate food storage supply of two days of perishable foods and a week of non-perishable food. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. There were no pool or other body of water and the backyard where clients will have access to play was completely fenced and free of hazards. Currently, the facility is appropriate for a capacity of six ambulatory clients, ages ten to seventeen. Two technical advisories (TA) was provided at this visit regarding water temperature, exterior stucco and exterior awning paint touch-ups. Licensing Program Manager will complete a final review prior to issuing a provisional license. Exit interview was conducted and a copy of this report and TA was provided Administrator Erin Green.

visit_type: Prelicensing

met_with: Erin Green, Administrator


state: CA

facility_name: BRIGHTER HOR. Treatment Ctr., CEDAR

summary: Facility Evaluation

raw_content:
Narrative:
On May 14, 2025, Licensing Program Analysts (LPAs) Joon Choi and Cynthia Ramos conducted a post-licensing inspection for Brighter Horizon Treatment Center-Cedar Short Term Residential Therapeutic Program's (STRTP) license. LPAs met with Facility Manager Trelanie Harris (FM) and Administrator Akila Crane (AD). The facility was toured both inside and out with the licensees. Currently there are four clients placed in the facility. The facility is licensed for a capacity to serve six minor clients. The residence was originally a five-bedroom single story-house with two bathrooms. Two of the bedrooms were modified and now serve as a staff office and a therapy room. The facility consists of a living room (common area), a kitchen, dining area, staff office, therapy room, the garage, and the backyard. Within the facility there were two storage rooms in the hallway where one has the medication and first aid kit, while the other has linen and cleaning supplies. The facility has 3 bedrooms and one full bathroom designated for clients. There is one bathroom designated for staff only. The bedrooms are arranged so that no more than two clients share a room, and there is one child per bed. One bedroom is currently unoccupied. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closet space for children's belongings. Towels and linens were stored in a cabinet by the clients' bedrooms. The smoke detectors and carbon monoxides were checked and were working properly. The fireplace was in the living room area, and it was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where clients would have access. The medications and sharp objects/knives will be locked and stored in a storage room in the hallway. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 111 degrees. There was adequate food storage supply of two days of perishable foods and a week of non-perishable food. The food was all properly stored. Trash cans for storage of solid waste have tight fitting lids. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted in the front lobby. There were no pool or other body of water and the backyard where clients will have access to play was completely fenced and free of hazards. The backyard had access to the water heater and gas shut off. During the visit, LPAs interviewed two clients and two staff. With the assistance of FM and AD, LPAs reviewed four client files; there were no deficiencies. With the assistance of FM and AD, LPAs reviewed four staff files;; there were no deficiencies. With the assistance of FM and AD, LPAs reviewed the facility's operations, disaster preparedness, emergency intervention plan, and core therapeutic services; and there were no deficiencies. Exit interview was conducted and a copy of this report was provided to Facility Manager Trelanie Harris

report_type: Facility Evaluation

met_with: Trelanie Harris, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 09/15/25, Licensing Program Analyst (LPA) Sarah Lo arrived to the facility for the purpose to conduct an interview with a client for a complaint unrelated to this facility. LPA was met by Irina Vayntrub, CEO, and was allowed access to the facility. LPA conducted one interview with a client regarding compliant control number 61-CR-20250328170538.

met_with: Irina Vayntrub, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On 12/31/2025, Licensing Program Analyst (LPA) Joon Choi, arrived unannounced to Brighter Horizon Treatment Center Cedar - Short Term Residential Treatment Program (STRTP) and met with Ameerah Jarteh, Direct Care Staff. LPA explained the reason for the visit, was to address concerns that the facility was falsely documenting the occurrences of Child Family Team Meetings (CFTMs). During the visit, LPA interviewed three staff and one client, and obtained pertinent documents associated to the concerns. LPA explained that this Case Management would be concluded on a follow-up visit to the facility, after LPA Choi has had time to communicate with other clients and the County Authorized Representatives assigned to the clients of the facility that were documented to have participated in CFTMs. An exit interview was conducted and a copy of this report was provided to Ameerah Jarteh, Direct Care Staff.

visit_type: Case Management

met_with: Ameerah Jarteh, Direct Care Staff


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
indicated that the SIR related to C1's AWOL was submitted only after Licensing initiated the complaint investigation at the facility. Based on confidential interviews and a review of pertinent documentation, the preponderance of the evidence standard has been met. Therefore, the allegation that staff failed to notify responsible parties of the minor's AWOL is substantiated. The facility is being cited for a violation of Title 22, California Code of Regulations, Section 80061(b)(1)(E), Reporting Requirements, which requires that a written report be submitted to the licensing agency within seven days following the occurrence of such an event. Events requiring reporting include any incident that threatens the physical or emotional health or safety of any client. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Administrator Courtney Brandon. other confidential interviews indicated that the facility assigned one-to-one staff supervision to C1 and hired an additional overnight staff member to assist with supervision. As a result, the LPA received inconsistent information regarding this allegation. Based on confidential interviews and a review of records, the allegation that staff did not prevent the minor from AWOL'ing may have occurred; however, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is determined to be unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Administrator Courtney Brandon.

Investigation Findings:
13On 12/29/2025, at 9: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit Brighter Horizon Treatment Center-Cedar Short Term Residential Treatment Program (STRTP) and met with Administrator Courtney Brandon, to deliver the investigative finding for the allegation listed above. On 08/20/2025, Community Care Licensing received an allegation that staff did not notify responsible parties of minor's AWOL. On 08/25/2025, LPA Joon Choi conducted a health and safety inspection at the facility, and no immediate health and safety hazards were observed. In addition, LPA Choi obtained pertinent documents and interviewed client 1 (C1) and staff 1, 2 and 3 (S1-S3). In regard to the allegation that staff (S1, S2, and S3) failed to notify responsible parties, including Licensing and County Authorized Representatives, of minor C1's AWOL, it was reported that C1 ran away from the facility on 8/10/2025, neither C1's County Authorized Representatives nor Licensing had received the Special Incident Report (SIR) associated with the incident. Confidential interviews revealed that the facility acknowledged the SIR was not submitted in a timely manner. Additional confidential interviews SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Brighter Hor. Treatment Ctr., CEDARFACILITY NUMBER: VISIT DATE: 12/19/2025

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

report_type: Complaint Investigation

met_with: Courtney Bradon, Administrator

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 01/16/2026, Licensing Program Analyst (LPA) Joon Choi, arrived unannounced to Brighter Horizon Treatment Center Cedar - Short Term Residential Treatment Program (STRTP) and met with Administrator Courtney Brandon. LPA Choi explained the purpose of the visit was to conclude a prior case management visit conducted on 12/31/2025. Based on confidential interviews and a review of pertinent documents; the concerns that were raised regarding the facility was falsely documenting the occurrences of Child Family Team Meetings (CFTMs) with their clients and the clients' county authorized representatives, may have occurred; however, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the concerns are unsubstantiated at this time.

met_with: Courtney Brandon


raw_content:
Narrative:
Confidential interviews revealed that other clients verbally disrespected C1 and threw C1's clothes outside. However, confidential interviews also indicated that C1 recanted their statement regarding being physically pushed by another client. Additional confidential interviews reported that, at no time, did other clients verbally abuse C1 or make fun of C1's appearance. Interviews further indicated that staff supervised C1-C3 during activities and while in the common areas of the facility, and staff did not witness any bullying directed toward C1 by other clients. Based on confidential interviews, the allegation that staff were not preventing minors from bullying another minor in care may have occurred; however, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and provided to Direct Care Staff Justin Johnson.

Investigation Findings:
13On May 18, 2026, at 11: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Brighter Horizon Treatment Center and met with Direct Care Staff Justin Johnson to deliver the investigative findings regarding the allegation listed above. On 02/10/2026, Community Care Licensing received an allegation that staff were not preventing minors in care from bullying another minor in care. On 02/13/2026, LPA Choi conducted a health and safety inspection at the facility, during which no immediate health and safety hazards were observed. In addition, LPA Choi obtained pertinent documents and conducted confidential interviews with clients 1, 2, and 3 (C1-C3) and staff 1, 2, and 3 (S1-S3). Regarding the allegation that staff (S1-S3) were not preventing minors (C2 and C3) from bullying another minor (C1) in care, it was reported that C2 and C3 were "cursing C1 out and insulting C1's appearance." It was further reported that another client (name not provided) "aggressively pushed C1." In a separate incident, other clients (possibly C2 or C3) allegedly threw C1's clothes outside the facility. CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Brighter Hor. Treatment Ctr., CEDARFACILITY NUMBER: VISIT DATE: 05/18/2026

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

met_with: Justin Johnson, Direct Care Staff


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
interviews reported that, on one occasion, when C1 and C2 requested clinical therapy sessions from S1 and/or S2, the requests were denied. Other confidential interviews reported that neither C1 nor C2, nor any other client at the facility had ever been denied clinical services. Additional confidential interviews stated that clients sometimes request impromptu (unscheduled) sessions and that, when distractions or safety concerns are occurring within the facility, therapists may ask clients to wait until the environment is safe. Regarding the allegation that staff (S3, S4, and S5) did not ensure vehicles used for transportation were maintained in safe operating condition, it was reported that the facility had two vehicles used to transport youth and that both vehicles were mechanically unsafe. Confidential interviews reported that one facility vehicle had an illuminated "check engine" light and that the second vehicle had low tire pressure. Other confidential interviews stated that, once the "check engine" light was reported, facility staff were instructed not to use that vehicle for client transportation. Additional confidential interviews reported that the second vehicle was operable and had no tire issues. During the course of the investigation, facility staff provided auto repair documentation to the Department verifying that both vehicles were operational. Regarding the allegation that staff did not ensure reporting requirements were followed, it was reported that a staff member was involved in a traffic accident while transporting a youth in December 2025 and that no report was made to Community Care Licensing Division (CCLD). Confidential interviews reported that facility staff failed to report a traffic incident in which a client was present in the vehicle. Other confidential interviews stated that a community member struck the facility vehicle while it was parked. Confidential interviews further reported that both a staff member and a client were inside the vehicle at the time of the incident; however, neither sustained injury nor there was any observable damage to the vehicle. Additional confidential interviews reported that the incident was not reported because there was no apparent damage to the vehicle and no observable injuries to staff or client. Based on confidential interviews and records reviewed, the allegations that staff did not ensure youth were provided mental health services, staff didn't ensure vehicles used for transportation were maintained in safe operating condition, and staff did not ensure reporting requirements were followed may have occurred; however, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and provided to Direct Care Staff Justin Johnson.

Investigation Findings:
13On 05/18/2026, at AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Brighter Horizon Treatment Center, Cedar - Short Term Residential Therapeutic Program (STRTP) and met with Direct Care Staff Justin Johnson to deliver the investigative findings regarding the allegations listed above. On 02/24/2026, Community Care Licensing received allegations that staff failed to ensure youth were provided with mental health services, failed to ensure vehicles used for transportation were maintained in safe operating condition, and failed to ensure reporting requirements were followed. On 02/26/2026 and 03/05/2026, LPA Choi conducted health and safety inspections at the facility, during which no immediate health and safety hazards were observed. In addition, LPA Choi obtained pertinent documents and conducted confidential interviews with clients 1, 2, and 3 (C1-C3) and staff 1, 2, and 3 (S1-S3). Regarding the allegation that staff (S1 and S2) did not ensure youth (C1 and C2) were provided mental health services, it was reported that S1 and S2 refused clinical services to C1 and C2. Confidential CONTINUED ON THE NEXT PAGE UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., Suite Riverside, CA Facility Name: Brighter Hor. Treatment Ctr., CEDARFACILITY NUMBER: VISIT DATE: 05/18/2026


summary: Facility Evaluation

raw_content:
Narrative:
On 2/6/ Licensing Program Manager (LPM) Dara Campos, Licensing Program Analyst (LPA) Jean Stidman, Systems of Care Manager (SOCM) Marjana Jackson, and Systems of Care Associate Governmental Program Analyst (AGPA) Angela Sellitti met with Audra Stance Administrator/CEO to provide technical assistance on the revisions needed for the STRTP Application, Plan of Operation and Program Statement. Administrator/CEO agreed to provide a new tabbed binder with all the revisions needed by 3/10/2023. A copy of this report was given to Audra Stance Administrator/CEO.

met_with: Audra Stance Administrator/CEO


facility_name: CALIFORNIA PROMISE VILLAGE

summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2025, at 2: PM, Licensing Program Analyst Connie Jones-Steward met with Applicant/Administrator Angela Clayborne for the Component II, Face-2-Face meeting. LPA advised the applicant that the following items need correcting in order to process the application: Re-format the Program Statement and Plan of Correction to conform to the most recent template. Be sure to include Table of Contents Provide current administrator certificate and copy of college degree & resume.. Submit updated version of LIC Add designee name to LIC Submit LIC Submit updated version of LIC Correct section 1 of the LIC 401 and review food costs. Add sufficient staff to the LIC 500. Show coverage for 24 hours. Submit an LIC 503 with doctor's stamp. Add more designations to the LIC 610C Add bedroom dimensions to the facility sketch. Add a board resolution to approve the founding of the new facility and the administrator Place articles of incorporation in the application packet. Add by-laws to the corporation package. Add first aid/CPR card for the administrator/applicant. Applicant states that she will have corrections and amendments complete by March 1, 2025. Pre-licensing visit is scheduled for March 6, 2025 at 2: PM.

met_with: Angela Clayborne, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the applicant Angela Clayborne to conduct the pre-licensing evaluation. The following was observed. This is a four bedroom, three bathroom home located in a residential section of the City of Lancaster. There are currently no clients in placement. There is no pool or body of water on the premises. There are no firearms on the premises. Living & Dining Room: There is a dining table with six chairs and extra seating at the kitchen counter. There is a screened fireplace in the living room. There is also a sofa, ottoman, other seating and a big screen, mounted TV. Kitchen & Bath: The refrigerator and electric stove are in good working order. There are sufficient dishes, pans, and utensils to serve the requested capacity. There is an automatic dishwasher. There are three bathrooms. Each has sinks, showers and commodes in good condition. Bedrooms: Bedroom #1 & #2 have a single bed each, There is the required storage space and linens in good condition. There is an operable security bar on the window of bedroom #1. There are no bars on the windows of bedroom #2. There is a single bed in bedroom #1 and bedroom #2. Bedroom #3 and bedroom #4 each have two beds. There is the required storage space for two clients. Linens are in good condition. There are two desks in bedroom #4 and one desk in bedrooms #2 & #3. There is no desk in bedroom # The security bars on the window of bedroom number four do not have a release. They must be removed or fitted with with a single action release mechanism. Fire Safety & Storage: The fireplace is screened. There are hardwired smoke and carbon monoxide in the bedrooms and the hallways. There are several fire extinguishers in the home. There are locking boxes for knives and medication. There are locked cabinets for cleaning supplies. Yard Space: There are no bodies of water on the premises. There is a fenced area for fruit trees and grape vines. There is an enclosed chicken coop. Building materials were stacked in a corner of the backyard. Administrative Space: There is an office dedicated to administrative functions: There are locked cabinets for storage of employee and staff files. This area provides privacy for interviews. The applicant will re-purpose one of the bedrooms to be the visitation room, First Aid: There is a supply of first aid items. However there are no scissors, tweezers nor first aid manual among them. Misc: There is a washer/dyer combo available. The garage is also designated as a recreation room. There is a pool table and gym equipment: The following is requested prior to licensure: Replace the security bars on the window of bedroom #4 with one that has a single action release. Remove all building materials from the backyard. Place additional desks as needed in the bedrooms. Obtain scissors, tweezers and a Red Cross approved first aid manual for the first aid kit. Adjust water temperature to the range specified in Title 22. Once the corrections have been made, LPA Jones-Steward will re-evaluate the home for licensure.

met_with: Angela Clayborne


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited the facility to verify that the pre-licensing corrections were made: LPA verified the following: The bedroom that has the non-operable security bar has a door that provides direct exit to the outside. Building materials have been removed from the backyard, There are desks as required in the bedrooms, The missing first aid items have been obtained, Hot water temperature has been adjusted. The physical plant requirements have been met at this time. The review of the applicant's qualifications and program statement are still in progress.

met_with: Angela Clayborne, applicant


facility_name: CAMERON YOUTH HOME

raw_content:
Narrative:
Information obtained through confidential interviews revealed that there are three to four staff members present at facility assisting and supervising clients. Staff indicated that the facility is not a look-down facility and that certain clients can take walks by themselves as a form of therapy that has been approved by the client's service team as in the case of C1. Staff further indicated that any client who goes AWOL is shadowed by staff for as long as they can attempting to discourage the client from going AWOLING. Staff indicated that they are always informing clients on the dangers of AWOLING and trying to determine what triggered the client to go AWOL. Staff indicated that at times clients will AWOL because they are wanting to get something to eat and during these types of circumstances staff will offer to take the client to prevent them from AWOLING. Staff indicated that all AWOL's are reported to the appropriate Agencies in a timely manner. Information obtained from C2 and C3 indicated that the GH staff is very supportive and are always encouraging clients to finish out their program. Clients indicated that GH staff is always roaming the facility cleaning and conducting room checks making sure clients are following facility rules. Therefore, based on the information received, the above allegation is 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 violation occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the GH 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 sent via email to the GH Administrator.

Investigation Findings:
13On June 4, 2021, at 4:30 p.m., Licensing Program Analyst (LPA) Winston Moroney, conducted a teleconference inspection to the above Foster Family Agency (FFA) and spoke with Group Home Administrator Melissa Williams. The purpose of the teleconference was to deliver the finding for the above complaint allegation. On January 28, 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 did not properly supervise minors while in care. 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, SIR's and interviews with GH staff members (S1, S2, S3, and S4) on 5/25/2021, 2 clients (C2, C3,) on 5/27/2021. LPA was unable to obtain statement from C1 due to still being AWOL. (Reference Confidential Names Form LIC 811, dated June 4, 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 06/04/2021

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

met_with: Melissa Williams - GH Administrator


raw_content:
Narrative:
Yet, others interviewed maintain that the allegation is true and that the clients aren't receiving required weekly therapy. Based on interviews and records reviewed there was no corroborating information to substantiate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above allegation did or did not happen, therefore, the above allegation is being closed unsubstantiated. No deficiencies were cited during this inspection. An exit interview was held with name Administrator Melissa Williams and a copy of this report and appeal rights were given to Melissa Williams. Appeal rights were discussed.

Investigation Findings:
13On September 13, 2021, at 5:23 pm Licensing Program Analyst (LPA) Belinda Gilmer made an unannounced complaint visit to the above facility and met Melissa Williams. The purpose of the visit was to deliver the findings of the above complaint allegation. During the investigation, LPA Gilmer obtained pertinent documents, from the facility on 6/17/21, LPA interviewed facility staff, and foster children that were at the time of LPA's visit. On 7/2/21, LPA interviewed facility staff, LPA re-interviewed facility staff on 7/6/21, and other staff on 7/15/21. The allegation was that the minors placed at Cameron aren't receiving needed services. The Current Head of Services, Administrator, and the foster children that were interviewed denied the allegation stated the children are receiving the necessary therapeutic services. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Belinda Gilmer 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 09/13/2021

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

met_with: Melissa Williams


raw_content:
Narrative:
Investigation revealed the following: It was alleged that staff inappropriately restrained a minor while in care. Interviews conducted with C1 stated that a incident occurred where staff #1 (S1) had to restrain C1 due to C1 hitting at S1. However, C1 stated that the restraint did not hurt and was not used inappropriately. Interviews conducted with S1 and S2 who were identified as being on duty the day documented of incident occurring stated that no altercation transpired between staff and C1. S1, S2 and S4 had similar statements in stating that S1 had C2 sitting on the ground after C2 had spit on S1 with his hand placed on C2's back lightly. C1 came up and started trying to defend C2 from S1 by hitting S1. However, S1 only held back C1 from hitting him but without doing any sort of restraints on C1. S2 assisted in de-escalating the situation and telephoned Administrators of incident. Interviews conducted with C2-C4 did not recall or state that any children were aware of any staff inappropriately restraining a child. Additionally, interviews conducted with S3 stated that they were unaware of any incidents like this occurring and were unaware of children having any issues with staff. Interviews conducted with children and staff did not provide any specific information or details related to incident. Documents reviewed did not depict any form of abuse occurring or abuse of a child being inappropriately restrained. Based on the information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. 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. There were no deficiencies cited during this tele-inspection.

Investigation Findings:
13On 9/22/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Cameron Youth facility for the purpose of a concluding the above complaint investigation. LPA met with Continuous Quality Improvement Administrator (CQIA) Johnny G. Watson and discussed the identified findings. Investigation consisted of the following: On 4/1/ LPA interviewed Administrator and staff 1 (S1) (See confidential names, LIC811 dated 4/1/2021). LPA requested copies of the current staff and client roster, facility placement history, current training's completed by staff, special incident reports involving staff using restraints on children from January 2021 to present date and any complaints associated to the use of restraints. Additionally, LPA requested copies of children's needs and service plans. On 7/19/ LPA Elnora Smith interviewed two (2) children and one (1) staff. On 7/20/ LPA Smith interviewed 1 staff. On 7/22/2021 and 8/16/ LPA Smith interviewed three (3) remaining staff. On 9/8/ LPA Mahecha reviewed documents received and interviews conducted. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Dawn Mahecha 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 09/22/2021

met_with: Johnny G. Watson, CQIA


raw_content:
Narrative:
The facility staff denied the allegations that client sustained injuries while in care and staff did not seek medical treatment for client. The facility staff indicated client was involved in an altercation with another client while on an outing. During the outing clients refused medical attention, however the following day the client was taken to doctor for medical attention. Facility staff stated no clients are denied medical attention and staff attempted to intervene during the altercation. The confidential interviews conducted did not corroborate the allegations. The placement agency social workers indicated having no concerns with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegations. Based on the interviews and records reviewed the allegations are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On November 12, 2021 at 10: AM Licensing Program Analyst Christopher Larios (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Larios met with Administrator Johnny Watson. During the course of the investigation, LPA Larry Cabral interviewed two facility staff, three clients and attempted to interview two clients on 7/15/21 (see Confidential Names Form LIC 811 dated November 10, 2021). LPA Cabral interviewed one county social worker on 7/2/21 and another county social worker on 11/5/21. LPA Cabral attempted to interview three county social workers on 7/15/21. LPA Cabral reviewed the facility's incident reports, discharge report, needs and services plan and safety plan. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 11/12/2021

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

met_with: Johnny Watson


raw_content:
Narrative:
The investigation revealed that allegation #1 supposedly happened around July 2020. The LPA observed that California Department of Social Services provided facilities with an All County Information Notice No. I-50- Provider Information Notice 20-12-CRP June 22, 2020. The investigation revealed that on July 21, 2020, LPA Claudia Portillo requested an Emergency Plan. It revealed that the facility submitted the Emergency Plan that includes Corona Virus - Operations Plan and Protocol as outlined in the PIN to MPCRP on August 8, 2021. The LPA was unable to corroborate the allegation, because the facility had yet to implement the plan. The Administrator reviewed with the LPA the process in which client's funds are issued to them. The LPA observed that the clients sign for their allowance. The client's clothing allowance is noted on the inventory. The investigation revealed that incidents indicated in the allegations allegedly took place in 2019 and 2020. It revealed that all the clients, except Ref.#5 and #8 discharged from the facility the same years. The investigation revealed that Staff Ref.#1 and #2 are no longer employed at the facility. The investigation revealed that the staff involved in the alleged allegation #3 is no longer working at the facility. They terminated employment in the same years, respectively. The LPA was able to interview only one client, Ref. #1 via telephone. The issue regarding Ref. #1 was addressed in 2019. The LPA was unable to contact Client's Ref. #2 - 8, either because they were inaccessible, there was no contact information in the CWS/CMS System or did not receive a return call from their authorized representatives. The LPA reviewed past interviews conducted by LPAs with the clients, Special Incident Reports, Case Management and Complaint History. The review revealed that allegations #4, #5, #6 and #8 were previously addressed by MPCRP via various Case Management and Complaint Investigation Inspections at the time. Regarding the staffing ratio, the LPA observed no evidence that the facility did not meet the staffing ratio. The LPA observed that on July 9, 2020 and on May 26, 2021, Monitoring LPA Humberto Flores conducted Case Management-Medications and noted that the facility had adequate staff. Statements from the Administrator reveal that the facility has maintained the required staffing ratio even during the Covid Pandemic. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding these allegations. A copy of this complaint was emailed to Administrator.

Investigation Findings:
On December 9, 2021 at 1:00 p.m., Licensing Program Analyst (LPA), Karen McGee, delivered the findings of the complaint investigation to the facility. The LPA met with Administrator, Melissa Williams. On June 11, 2021, the Monterey Park Children's Residential Program (MPCRP) received a complaint with the above mentioned allegations. The investigation included confidential interviews that consisted of, but were not limited to: the Administrator and the Executive Director, Jaye Williams; the LPA interviewed client Ref. #1 (see Confidential Names, LIC Ref. #1 dated December 10, 2021). The LPA was unable to interview former clients Ref. #2 thru 8, because the client's had been discharged from the facility and either there was not contact information for them in the CWS/CMS System or their authorized representative did not return the LPA's telephone calls. The LPA was unable to interview Staff Ref. #1 and 2, because they are no longer employed at the facility. The LPA reviewed the faclities Emergency Plan dated August 8, 2020; allowance logs and clothing inventory and monthly allowance. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/10/2021

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


raw_content:
Narrative:
Confidential interviews reveal that client became verbally and physically aggressive to staff after being sent home from school due to aggressive and assaultive behavior at school. Client walked towards the kitchen area and was redirected by staff to leave the area. For clients' safety, clients are not allowed in the kitchen area when staff are preparing meals for clients. Client ignored verbal redirection from staff and became physically aggressive towards staff. Client was restrained after client became a danger to self and others. The confidential interviews reveal varying accounts regarding details of client's restraint. One party alluded that continued redirection should have been implemented instead, while another supported the restraint performed by staff to safeguard client's safety. Another party reported witnessing staff engaging with client in a non-physical way. Staff involved denied excessive force while restraining client. Although client maintained being improperly restrained, client did not provide details regarding the incident. There was no evidence found to support that the incident was instigated by staff and staff falsified the report involving client. Based on information obtained during the investigation, there is insufficient evidence found to support the allegations, so the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this signed report, the Confidential Names dated 12/22/21 and Appeal Rights forms were provided to the facility representative. No deficiency citation was issued.

Investigation Findings:
13On December 22, 2021 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Ruben Munoz who conducted confidential interviews with clients, staff and other related parties. Pertinent records were reviewed such as, but not limited to the incident report, law enforcement contact report, in-house incident and client behavior report, case plan and needs and services plan, placement referral, admissions agreement, and the facility emergency intervention plan. It was alleged that client was improperly restrained resulting in injuries; staff instigated an incident with client and the facility falsified client's paperwork. 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/22/2021

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

met_with: Melissa Williams, Administrator


raw_content:
Narrative:
Multiple allegations were received by the Department alleging supervision, personal rights, reporting requirement and staff qualification issues. The investigation revealed that the allegations occurred between 2019 to 2020. Confidential interviews and records show that clients engaged in a verbal, then physical altercation at the facility after one client became friends with a new client in placement. Staff intervened while clients were having a verbal altercation. However, one client later attacked the other by going to the other client's bedroom. The client/victim stated that the altercation was an isolated incident and staff sought medical attention for client. Records show the incident was reported to law enforcement and licensing. Another report revealed that a client grabbed a scissor being used by staff. The incident was stabilized after staff intervened and client complied and returned the scissors to staff. This incident was also reported to law enforcement and licensing. Interviews reveal that no client is provided any preferential treatment while in placement. Clients are encouraged to go to the gym or play sports. These activities are not held back, regardless of client behavior. Laptops are provided by school district, not the facility, and any restriction to computer access is based on placement agency directive or court order. LPA reviewed incident reports which reveal that staff use verbal intervention to address aggressive and/or unsafe behaviors exhibited by clients but will use restraint to ensure client and/or other clients' safety. LPA observed proof of incident reporting to licensing by phone and/or by email. Based on information obtained during the investigation, there is insufficient evidence found to support the allegations, so the allegations are unsubstantiated. Although the allegations may have happened or are valid, the preponderance of evidence to prove the allegations was not met. A copy of this signed report, the Confidential Names dated 12/22/21 and Appeal Rights forms were provided to the facility representative. No deficiency citation was issued.

Investigation Findings:
13On December 22, 2021 at 11: AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above. The allegations were investigated by Investigations Branch (IB) Investigator Mariana Lomeli and the undersigned LPA. Investigator Lomeli and LPA Yamamoto investigated the allegations by conducting confidential interviews with clients, staff and other related parties. Two out of four clients involved addressed the allegations. LPA made unsuccessful attempts to interview the other clients, who were either AWOL or detained. Current and historical records were reviewed such as, but not limited to, incident reports, law enforcement contact reports, medical reports, staff training records and the facility emergency intervention 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 12/22/2021

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

met_with: Melissa Williams. Administrator


raw_content:
Narrative:
Staff denied the alleged allegations however further disclosed that an incident did occur where a previous client (C3) needed crisis management which was provided by staff and other medical personnel due to C3 having a psychotic breakdown and self-harming by hitting their head on the tile floor. Staff further indicated that C3 was removed from the facility by local Law Enforcement due to behavior and to be further evaluated. Staff indicated that the facility is not a lockdown facility and clients are allowed community passes if agreed to by the client's CSW and other services that are being provided. As to the facility being in disrepair, LPA conducted a thorough walkthrough of the facility and found no Building and Grounds deficiencies. Information obtained from clients did not corroborate the above allegations. 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 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 STRTP Administrator.

Investigation Findings:
13On May 18, 2022, at 1: PM., Licensing Program Analyst (LPA) Winston Moroney, conducted a complaint inspection to the above Short Term Residential Therapeutic Program Facility (STRTP) and met with the Facility Administrator Melissa Williams. The purpose of the inspection was to deliver findings for the above complaint allegations. On October 22, 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: Minor sustained injuries while in care, Staff are unable to prevent frequent AWOL's and Facility is in disrepair. The investigation of the above allegations was conducted by this LPA and it consisted of but not limited to a review of records, including the children's needs and services plans, medical records, and interviews with 3 staff members on 11/1/21, 2 of Clients (C1, C2) on 11/1/21 (C3 declined to be interviewed), (Reference Confidential Names Form LIC 811, dated May 18, 2022). Staff denied the alleged allegations however further disclosed that an incident did occur where a previous client (C3) needed crisis management which was provided by staff and other medical personnel due to C3 having a psychotic breakdown and self-harming by hitting their head on the tile floor. Staff further indicated that C3 was removed from the facility by local Law Enforcement due to behavior and to be further evaluated. Staff indicated that the facility is not a lockdown facility and clients are allowed community passes if agreed to by the client's CSW and other services that are being provided. As to the facility being in disrepair, LPA conducted a thorough walkthrough of the facility and found no Building and Grounds deficiencies. Information obtained from clients did not corroborate the above allegations. 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 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 STRTP 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: CAMERON YOUTH HOMEFACILITY NUMBER: VISIT DATE: 05/18/2022

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

met_with: Melissa Williams - Administator


facility_name: CAMRY GROUP HOME II

raw_content:
Narrative:
The facility staff denied the allegation indicated no facility staff had an inappropriate relationship with a client. The facility staff stated no client disclosed to staff that a facility staff told a client that staff wanted to kiss the client. The confidential interviews conducted did not collaborate the allegation. The three clients interviewed denied the allegation indicating no staff has told clients anything inappropriate. The alleged victim denied the allegation and stated staff did not tell client that staff wanted to kiss client. The placement agency social workers indicated have no issues with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegation. Based on the interview 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 March 2, 2022 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 the Facility Administrator Cynthia Briscoe . During the course of the investigation, LPA Cabral interviewed two facility staff on 10/12/21 and one facility staff 10/13/21. LPA interviewed three clients and attempted to interview three additional clients on 10/19/21 (see Confidential Names Form LIC 811 dated March 2, 2022). LPA Cabral interviewed two county social worker (CSWs) and attempted to interview three county social workers on 10/19/21. LPA attempted to interview one county social workers on 10/11/21. LPA Cabral interviewed others on 10/13/21 and 11/2/21. LPA reviewed the other agency's investigative narrative on 2/19/22. On 10/7/21 the department received a complaint alleging that staff had an inappropriate relationship with a client while in care. 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: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 03/02/2022

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

met_with: Cynthia Briscoe, Administrator


raw_content:
Narrative:
The facility staff denied the allegation and were not aware of the incident until it was reported to them. The facility staff stated no client disclosed to staff that a minor is inappropriately displaying their private parts to another minor while in care . The confidential interviews conducted did not collaborate the allegation. Two clients interviewed denied the allegation indicating nobody exposed themselves. The alleged victim stated the incident happened once while away from the group home. The social workers indicated they had no issues with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegation. Based on the interview 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 9, 2022 at 10: AM Licensing Program Analyst Pedro Ramos (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA met with Doris Edwards, Staff . During the course of the investigation, LPA interviewed two facility staff on 2/3/22 and one facility staff 6/7/22. LPA interviewed three clients (see Confidential Names Form LIC 811 dated June 9, 2022). LPA interviewed two county social worker (CSWs). LPA attempted to interview one county social worker. LPA reviewed clients documentation. On 1/27/22 the department received a complaint alleging minor is inappropriately displaying their private parts to another minor while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos 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: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 06/09/2022

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

met_with: Doris Edwards, Staff


raw_content:
Narrative:
Continue from page 1. . . . Information obtained from staff and clients revealed that at least one staff was using his own vehicle to transport the clients and that the clients were taken to the staff's home to hang out and do other activities. Client's County Social Workers stated that they did not give authorization for their client to go the staff home and were not approached by the facility regarding the issue. The facility was not able to provide documentation of authorization from the County Social Workers or authorization from the facility for the transportation of clients in the staff's vehicle. Based on the staff statements and confidential interviews the allegations were found to be substantiated. A substantiated finding means that the preponderance of evidence standard has been met and the allegations are found to be true. Exit interview completed. The following deficiencies cited and a copy of this report and appeal rights were left with facility representative mention above. End of report. Continue from page 1 . . . The facility staff denied the allegations and stated that the clients have not been put on physical restraint and that they redirect the client when having a behavior. Staff stated that the clients are guided to an area to calm down while being talked to. Staff stated that they block or maneuver away if clients become aggressive. Staff stated that the clients have not been put on holds, pushed or been physically abuse by staff. Staff indicated that they only would use a restraint as a last alternative or to prevent harm to clients or staff. The confidential interview revealed conflicting and inconsistent statements. There were statements indicated that a client was pushed, chocked and handle in a rough matter by the facility staff while other statements indicated that the child was not handle inappropriately by the facility staff. Other information obtained indicated that staff restraint clients while other indicated that staff did not restraints clients. Other clients were not available to give a statement regarding the allegations. The placement social worker indicated that clients did not report restraints in the GH. There was no corroborating information obtained through interviews to confirm the allegation. Based on the information obtained though interviews and records review the allegation is found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred, therefore, the above allegation is Unsubstantiated. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. An exit interview was conducted, and a signed copy of this report was left with facility representative.

Investigation Findings:
13On June 15, 2022, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Doris Edwards, Supervisor. The purpose of the visit was to deliver the finding for the above complaint allegations. During the course of investigating the allegation, LPA Perez interviewed with four clients and two staff on November 15, 2021, LPA interviewed one staff on May 12, 2022, LPA Perez interviewed one staff and County Social Worker (CSW2) via telephone on May 13, 2022, LPA Perez interviewed two staff via telephone on May 17, 2022, LPA interviewed County Social Worker (CSW3) via telephone on May 18,2022 and LPA interviewed County Social Worker (CSW4) via telephone on May 19, 2022 (see Confidential Names LIC 811 dated June 15, 2022). It was alleged that Staff transport children in their own vehicle and Children are being allowed to go to staff members home. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez 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: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 06/15/2022

met_with: Doris Edwards, Supervisor


raw_content:
Narrative:
It was alleged that facility staff hit minor and that minor has access to sharp objects. Statements obtained from the confidential interviews did not provide sufficient information to corroborate the allegations. The alleged victim stated not recalling the details of the incident. Two (2) facility staff denied the allegation and another facility staff stated calling out the day the incident took place. LPA Mundo was unable to get a statement from a county social worker. There was no corroborating information obtained through the interviews and review of records to confirm the allegations. Based on the interviews and records reviewed, the allegations are found Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation. The following reports were provided to the facility representative: LIC 9099, LIC 9099C, LIC 811, and Appeal Rights.

Investigation Findings:
13On 9/9/2022 at 11:20 am, Licensing Program Analyst (LPA) Jenny Mundo conducted a follow-up complaint inspection with the Short Term Residential Therapeutic Program (STRTP) for the purpose of providing findings for the above complaint allegations. LPA Mundo met with the Facility Manager, Claretta Hart. During the course of the investigation, LPA Mundo conducted interviews with one (1) foster child and three (3) facility staff via telephone on 9/8/2022 (see Confidential Names form LIC 811 dated 9/9/2022). LPA Mundo also reviewed documents on 9/6/2022 and 9/7/2022 including but not limited to the facility's staff schedules, Staff training schedule, a maintenance work order, Special Incident Reports (SIRs) for the period of 2/2022, ER discharge paperwork and Needs and Services Plan for one foster youth. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Jenny Mundo 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: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 09/09/2022

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

met_with: Claretta Hart, Facility Manager


raw_content:
Narrative:
It was alleged that around July or August 2022, staff at the facility failed to properly supervise clients in care when they were playing in the backyard. It was reported that while the clients were playing in the backyard, they had thrown an object into a neighboring yard which landed into a pool. No injuries or damage was reportedly sustained. In an interview conducted, one client stated that the incident occurred because he and two of the other clients were fooling around and throwing rocks at the wall in the backyard. The client stated that one of the rocks broke on impact when it hit the wall and some of the debris flew into the neighbor's yard. The client denied any ill-intent and stated that it was a honest accident. The client stated that staff were not initially in the backyard with them but did come out to check on them every 15 minutes or so. When it was discovered that they were throwing rocks at a wall, the staff directed them to stop to which they complied. The client stated that there were generally 2-3 staff members working at a time and he felt safe and content in the home. Two other clients interviewed corroborated the above statements. In an interview conducted, one staff member stated that three of the clients were playing in the backyard and throwing rocks at the wall while she was out there with them trying to redirect them. The staff member stated that the clients initially did not comply but eventually stopped. The staff member stated that the clients were generally well-behaved and rarely got in trouble. There were generally 2-3 staff members on shift and none of the clients required constant supervision as part of their needs and services plan. In an interview conducted, another staff member stated that when the clients were playing in the backyard, staff would sometimes go out with them and sometimes observe from inside the house through the windows. Another staff member interviewed also confirmed the above statements. A review of records revealed no indication that clients in care needed continuous visual supervision. Based on interviews conducted and records reviewed, there is not a preponderance of evidence to suggest that the above allegation occurred. Although the allegation may have happened or may be valid, the preponderance of evidence standard has not been met. Therefore, the allegation is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided to the Licensee.

Investigation Findings:
13On November 30, 2022 at approximately 11: AM, Licensing Program Analyst Raymond Wu conducted an unannounced complaint inspection visit at the facility for the purposes of delivering findings for the above allegation. LPA met with the representative named above and discussed the purpose of the visit. As part of the investigation, interviews with clients and staff were held on 08/09/22 and 11/29/22. Records were reviewed on 08/09/22 and 11/30/22. (Continued) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Raymond Wu 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: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 11/30/2022

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

met_with: Doris Edwards, Daytime Supervisor


summary: Complaint Investigation - Substantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a client was injured during an altercation with staff and staff restrained a minor. The staff denied the allegations to LPA Larios. Records review revealed on 04/18/22 between 7: AM and 7: AM, an altercation between a staff and client occurred requiring staff to restrain the client. Statements obtained from confidential interviews conducted were consistent and revealed staff restrained the client in a prone position, on the floor, and held the client down by his hands and back-neck area. In addition, record review revealed the client was observed with an abrasion on his cheek on 04/19/22. The client stated the injury was obtained during reported incident. In addition to the above information, the investigation revealed staff admitted to law enforcement that a client was restrained during the incident and informed a placing agency investigator the restraint took place on the floor. Furthermore, upon review of the staff's training history, no evidence to support staff obtained the required emergency intervention technique certification and completed the required training was observed. Based on information gathered through records review and interviews conducted the allegations are substantiated, the standard of the preponderance of evidence has been met. Facility cited for violation of STRTP Interim Licensing Standards (ILS) Article 06, 87072(c)(11) Personal Rights & 87095.65(a)(1) Emergency Intervention Staff Training. Record review and confidential interviews corroborated a client sustained an injury to his cheek after being restrained in a prone position. In addition, record review revealed staff was not trained in emergency intervention techniques and restrained a client. Exit interview conducted and a copy of this report, LIC9099D, appeal rights and LIC811 dated 12/28/22 were given to the above-mentioned facility representative.

Investigation Findings:
On 12/28/22 at 3: PM, Licensing Program Analyst (LPA) Christopher Larios conducted a follow up inspection to the Short Term Residential Therapeutic Program (STRTP). During the inspection LPA Larios met with Administrator Cynthia Briscoe. The purpose of the inspection was to deliver findings for the above-mentioned complaint allegations. During the course of the investigation LPA Larios conducted a records review on 06/28/22 and obtained copies of the following documents: staff roster & contact information, client roster, special incident reports and needs and services plans. On 06/28/22, LPA Larios interviewed two staff and two clients. On 12/27/22, LPA Larios interviewed one county social worker, one staff and one client. In addition, a copy of the placing agency investigation narrative and law enforcement report regarding the incident were obtained. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 12/28/2022

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

met_with: Cynthia Briscoe

complaint_status: SUBSTANTIATED


raw_content:
Narrative:
On 2/7/23 the Department received a complaint alleging client hit another client while in care and client engaged in inappropriate behavior while in care. It was alleged that while C1 was sleeping C2 came into C1's room nude and laid down on top of C1. It was also alleged C1 then punched C2. The facility staff indicated C1 never disclosed any incident involving C2. Staff indicated staff always supervises the clients. C1 stated the incident did happen however C1 did not provide any details and stated C1 could not remember what happened. C2 denied the allegations and stated C2 never went into C1's room and laid on top of C1. C2 stated C1 did not punch C2. Both clients indicated staff always provides supervision to the clients. LPA attempted to interview two additional clients, however the clients refused to participate in interviews. The other agency's investigative report indicated C1 first stated nothing happened then stated it did happen but refused to continue the interview. C2 denied all the allegations on the referral. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited

Investigation Findings:
13On May 19, 2023, at 9: 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 the STRTP Administrator Tanerrah Powell. During the investigation, LPA Cabral interviewed one facility staff (AD) on 2/9/23. LPA interviewed one client (C2) and attempted to interview two clients (C3 & C4) on 2/22/23. LPA interviewed one client (C1) on 5/17/23 (see Confidential Names Form LIC 811 dated May 19, 2023). LPA Cabral attempted interview one county social worker (CSW1) on 2/9/23 and attempted to interview another county social worker (CSW2) on 5/15/23. LPA reviewed the other agency's investigative narrative on 5/17/23. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring 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 LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 05/19/2023

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

met_with: Tanerrah Powell, Administrator


raw_content:
Narrative:
On 09/25/23, the Department received a complaint alleging that staff are not preventing a client from bullying another client, including that staff are verbally abusive. The Administrator and facility staff workers have denied the allegations. The Administrator stated that the client who reportedly is being bullied declined to change bedrooms with the client he identified as bothering him, including never informing staff at the facility that he is being bullied. The Administrator disclosed that the facility does not condone any bullying by anyone at the facility, and clients are treated with respect. Confidential interviews with the clients revealed inconsistent statements regarding the alleged allegations. Four clients denied the reports that any client is being bullied, including staff are disrespectful. One client admitted to not being truthful when the allegations were first reported. The one client denied being bullied and that staff and other clients were disrespectful towards him. One individual identified as Other who had direct information about the allegations corroborates the report made to the Child Protection Hotline. Other is deemed to be a credible witness who stated that the allegations disclosed were accurate when first reported. The county social worker (CSW) has no concerns with the facility staff. Furthermore, CSW was never informed by the client of the allegations. Based on the information gathered during confidential interviews, it cannot be determined whether the allegations occurred. Therefore, the above allegations are determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the agency representative and copies of all licensing reports were provided at the conclusion of the inspection. An exit interview was conducted and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 10/25/2023 at 11: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Ms. Edwards, Facility Staff. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with five facility staff workers, five clients, on 09/26/2023, Individual identified as Other on 9/28/23, county social worker on 9/29/2023. Reference Confidential Names List LIC811 dated 10/25/2023. During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients' Needs and Service Plan, and placement history, including a review of the county report associated with this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Joseph Vargas 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: CAMRY GROUP HOME IIFACILITY NUMBER: VISIT DATE: 10/25/2023

met_with: Ms. Edwards, Facility Staff


facility_name: CANYON OAKS YOUTH CENTER

raw_content:
Investigation Findings:
13On 8/12/22 at 12: PM, Licensing Program Analysts (LPA) Alyssa Ng and George Karkazis conducted a complaint inspection with Canyon Oaks and spoke with Victoria Valencia, Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During confidential interviews with clients, one client stated they drank alcohol in the facility and tossed it in the garbage. Later that day, staff found the empty bottle and removed it from the premises. After reviewing the incident report dated 02/01/22, three small alcohol bottles were confiscated from clients and the trash bin. Based on LPA's interview with Administrator and record review(s), the preponderance of evidence standard has been met, therefore the above allegation, minor has access to alcohol in care is found to be SUBSTANTIATED. Facility is being cited for violation of California Code of Regulations (CCR), Title 22, Division 6 & Chapter 1: 80078(a): Responsibility for Providing Care and Supervision. See attached LIC9099D for details. An exit interview was conducted, appeal rights provided and discussed, and a copy of this report was given to Victoria Valencia, Administrator. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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, TRAEGER AVE., SUITE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/01/2022 and conducted by Evaluator Alyssa Ng COMPLAINT CONTROL NUMBER: 14-CR- FACILITY NAME:CANYON OAKS YOUTH CENTERFACILITY NUMBER: ADMINISTRATOR:VICTORIA VALENCIAFACILITY TYPE: ADDRESS: EDMONDS ROADTELEPHONE: (650) 839- CITY:REDWOOD CITYSTATE: CAZIP CODE: CAPACITY:12CENSUS: 7DATE: 08/12/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Carrie StaffordTIME COMPLETED:01: PM Minor(s) sexually abused while in care. INVESTIGATION FINDINGS: 13On 8/12/22 at 1: PM, Licensing Program Analysts (LPA) Alyssa Ng and George Karkazis conducted a complaint inspection with Canyon Oaks and spoke with Carrie Stafford, Program Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. The allegation, "minor(s) sexually abused while in care," was investigated by Community Care Licensing's (CCL's) Investigations Branch (IB) and assigned to Inv. Christen Krogstad on 04/04/2022. On 06/13/2022, the investigation was re-assigned to Investigator Victoria McIntosh. During Confidential Interviews and staff shift notes reviewed by IB Investigators Krogstad and McIntosh, clients denied staff ever touching them. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that Minor(s) sexually abused while in care, therefore the above allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy was given to Carrie Stafford, Program Director. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Helga Wong LICENSING EVALUATOR NAME: Alyssa Ng 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: CANYON OAKS YOUTH CENTERFACILITY NUMBER: 415600309

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

met_with: Victoria Valencia


raw_content:
Narrative:
Although the allegation may have happened or is valid, based on LPA's observations and interviews, there is not a preponderance of the evidence to prove the alleged violation did not did not occur. Therefore, the allegation is unsubstantiated. No deficiency citations were issued at today's visit. An exit interview was conducted, and a copy of this report and the licensee's appeal rights were provided to Administrator Victoria Valencia and Mental Health Program Specialist Christina Bolanos.

Investigation Findings:
13On 2/26/25, Licensing Program Analyst (LPA) Mariah Hawkins conducted a complaint investigation visit at the facility in order to deliver the findings of the investigation of the above complaint allegation. LPA met with Administrator Victoria Valencia and Mental Health Program Specialist Christina Bolanos and informed of the purpose of the visit. Based on the complaint report, the allegation of inappropriate touching pertains to an incident of alleged sexual assault. Based on confidential interviews, observation, and record review: While riding a four-wheeler at an equestrian center as part of equine therapy, a client pushed another client after the latter got too close to the former. Facility staff always accompany clients to equine therapy but do not provide close supervision, which is to allow clients to fully engage with the equine instructors. Reports that disclosures of the incident were made to facility staff could not be supported by interviews and record review, and it could not be evidenced that facility staff witnessed or were made aware of the incident. Further, the confirmed details of the incident do not support the allegation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: Mariah Hawkins 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN BRUNO RO, TRAEGER AVE., SUITE FACILITY NAME: CANYON OAKS YOUTH CENTERFACILITY NUMBER: VISIT DATE: 02/26/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
At AM Licensing Program Analyst (LPA) Isabel Mendoza made an unannounced annual inspection to facility. LPA met with Christina Bolanos, Residential Counselor 3, and Administrator, Karrie Stafford. Later in the inspection, Victoria Valencia joined in. The facility is licensed to serve a capacity of 12 clients, prefer ages 12-17 years old and also NMD. Currently the current census is 7 ambulatory clients, and no NMDs in care. The purpose of this inspection was to comply with a regulatory requirement for a yearly required inspection. At 9: AM LPA toured the facility inside and out and found the facility to be safe, clean and in good repair. All passageways are unobstructed. All smoke detectors are in working order. There are no firearms on the property. The fire extinguisher has been checked and is up to date. There are no bodies of water on the property. The facility is maintained at a comfortable temperature at 69 degrees. LPA recorded water temperature at 108.3 degrees which is within regulation. LPA inspected the medication storage and administration records and observed that the logs were complete and matched the stored medications. LPA Mendoza reviewed 10 staff files and observed them to contain all necessary documentation. All staff have background clearances and are listed on facility roster. During review on staff training LPA was informed that the facility completes several training on Relias (online portal), however the facility is not filing all employees training certificates. LPA reminded the facility that all training certificates should be maintained. LPA reviewed all residents' files and observed (2) client files where the LIC 601 (Identification and Emergency Information) form had several sections not completed. LPA brought this up to the Head of Service, Victoria Valencia, and the facility completed and requested those missing items. During inspection, LPA obtained a copy of Administrators certificate and emergency intervention plan. (Please refer to LIC 809-C) LPA requested the facility to submit the following items no later than Friday 6/23/21, an updated LIC 500 (staff schedule) and LIC 610 (Emergency Disaster Plan). No deficiencies cited during todays inspection. The facility received four technical advisory notes. Exit interview was conducted and a copy of the report was left with the facility.

visit_type: Annual

met_with: Christina Garcia, Residential Counselor III & Administrator, Karrie Stafford


summary: Facility Evaluation

raw_content:
Narrative:
A virtual Office Meeting was conducted on Friday, August 06, 2021 at PM via Microsoft Team due to COVID-19 safety orders. Community Care Licensing (CCL) met with Administrator Karrie Stafford, Clinical Services Manager, and Noelle Bruton. From CCL, Regional Manager, Nelson Martinez, Licensing Program Manager, Zaid Hakim, Licensing Program Manager, Juanita Arroyo, and Licensing Program Analyst (LPA) Isabel Mendoza. The purpose of this meeting is to review and clarify trends that have been identified over the past two years from incident reports and discuss our review of the current program statement. Trends: CCL reviewed January 2020, January 2021, and February 2021 incident reports. A total of 26 incident reports. 16 incident reports were AWOL/attempted AWOL. Trends: Intervention using trauma informed practices De-escalation techniques Lacking details to support actions on incident reports Clinical interventions are not present Early therapeutic engagement Review of Needs and Service Plans 7. Additional training on engagement of youth 8. Modification to Need and Service Plan Program Statement Revisions: Section 4- Core Services and Supports- Regulation 87078.1, pages 4-8 of program statement. Section 5- Trauma Informed Intervention and Treatment Practices, Regulation 87078.2, pages 1-5. Section 14- Personal Rights, Regulation 87072, page 1. Section 15- House Rules, Regulation 87022.1 and 87072, pages 1-3. Section 17 -Positive Discipline Policies, Regulation 87022.1 and 87072, pages 1-9. Section 22- Emergency Intervention Plan and Runaway Plan, Regulation 87095.24 and 87095.22, page 11. The facility agrees to submit CCL the amended Program Statement by 09/10/21. As a result of this Office Meeting, there were no title 22 deficiencies cited. Exit interview was conducted and a copy of this report was emailed to Administrator, Karrie Stafford for signature. The Administrator agreed to sign and email back to LPA Mendoza.

met_with: Administrator- Karrie Stafford Clinical Services Manager-Noelle Bruton


summary: Facility Evaluation

raw_content:
Narrative:
SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Oquendo and Bertoli on 9/29/21 at 10:00AM. LPA spoke with Administrator - Victoria Valencia, who provided files and documents for review. This inspection was conducted at this facility. LPA reviewed client files and viewed the medications, which were locked in a cabinet, located inside the locked staff office. Facility has a capacity of twelve, with nine children in placement. Seven of the children placed at this facility are prescribed psychotropic medications The children were all present at the facility during this inspection. All the children attend school on campus at this facility. This facility previously received an SB 484 inspection on 11/4/20. LPA conducted exit interview with administrator and left a copy of this report.


summary: Facility Evaluation

raw_content:
Narrative:
SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Oquendo and Bertoli on 9/30/21 at 10:00AM. LPA met with Administrator - Victoria Valencia. This inspection was conducted at this facility. LPA reviewed client and staff files and viewed the medications, which were locked in a cabinet, located inside the locked staff office. LPA interviewed clients and staff at the facility. Facility has a capacity of twelve, with nine children in placement. Seven of the children placed at this facility are prescribed psychotropic medications The children were all present at the facility during this inspection. All the children attend school on campus at this facility. This facility previously received an SB 484 inspection on 11/4/20. LPA conducted exit interview with administrator and left a copy of this report.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Michelle Kyane and Licensing Program Manager Angela King conducted a case management inspection on October 21, 2021 at 11: AM, based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. 6 of 26 direct care staff and 9 of 11 youth files as identified on the LIC 811 confidential names dated October 21, 2021, were reviewed. 4 of 26 direct care staff and 6 of 11 youth were also interviewed. The Plan of Operation including policies and procedure were reviewed. A copy of this report was discussed and provided to Jordan Gonzales, Supervising Mental Health Clinician.