summary: Facility Evaluation

raw_content:
Narrative:
On 12/13/ Community Care Licensing, Children's Residential Program, Licensing Program Manager (LPM) Rosa Rodriguez, Licensing Program Analysts (LPA) Jacqueline Carmona, Farhaan Sarangi, and Chad Cabigon met with Progress Ranch Executive Director Alyssum Maguire, Director of Operations Matt Lemcke, Clinical Director Dr. Angie Branham, and Regional Manager Kourtney Hamilton for an Informal Meeting/Conference to discuss the following: - Sharp increase in number of complaints between both Progress Ranch locations: per Progress Ranch, part of the reason for this might have been an influx of new employees starting at around June/July of this year (2023) that was, in turn, a consequence of staffing for new facilities and to also bolster the current workforce. · Incident reports (full and 24-hr. notifications alike) not being submitted to CCL: directive for AM & Co. to look into whether or not there were actual reportable incidents that were not even documented at all (which are distinct from IRs being done but just not being submitted ultimately to CCL. · Required records availability: Ask from CCL was to have Progress Ranch implement a protocol wherein required records that Licensing may need are kept in a physical binder that would be readily and easily accessible on request. · Reports of staff not being supported and/or not properly equipped to meet the needs youth · Training: new emergency intervention plan component/element, Ukeru, is being reviewed by the State and, if approved, will be implemented as appliances that are part of the Ukeru system have come in--CC to look into when that program statement section can be sent back, approved, to Progress Ranch. · Key facility positions not filled: AM stated that only the board resolution for each facility administrator is needed to complete the "CCL packet" to re-designate roles to Samuel Ancheta for Chestnut, Danaye Hall for Grove; Mr. Ancheta will be designated both Head of Service (DHCS designation) and Administrator which prevents him from holding any other position. Per AM: Jalisa Chambers will be MHRS for Chestnut, and Sarah Mascardo will be MHRS and HOS for Grove. Plan, for now, is to outsource the Clinical Director position once Dr. Barnham vacates on December 29, 2023. (, 809-c) ·Mental health services not being rendered: per AM, no individual therapy was provided to clients between November 16 - November 26. Per AM, the newly appointed clinician, Joan Bruno, left Progress Ranch on 12/12/2023. · Allowances: it was made clear to Progress Ranch that allowances are due to youth regardless of whether or not they partake in or complete any chores they were assigned, the frequency of the disbursements are to be at least once a month. · Clients' personal property inventory and safeguarding: according to Progress Ranch, all of the current clients' personal property inventory have been done. · Youth being left unsupervised due to school drop-off that was not coordinated: presently being addressed by a complaint investigation. · General upkeep of physical plant: multiple specific items of concern were discussed and have been addressed/resolved via the complaint investigation and/or case management inspection process. · Co-mingling of youth between the two locations: hospital/emergency packet for each client will be kept at both facilities. · Communication issue(s): intra-organization flow of information: FS suggested that leadership remind floor staff of an open door policy in regard to being approached with concerns/issues. · Groceries - facilities regularly run low on perishables/non-perishables: suggestion is to keep inventory and up the frequency of grocery shopping to at least 2x/week to get a better idea who/how it's being used. · Availability of Progress Ranch personnel for Licensing and/or other agency visits: suggestion from FS--installation and utilization of Ring (or similar) doorbell. Pending exception approval regarding bunk bed set up in Chestnut will be requested for by AM. No citations are being issues as of this time; a copy of this report is being provided to Progress Ranch.

met_with: Alyssum Maguire, Matt Lemcke, Angie Branham, Kourtney Hamilton


state: CA

facility_name: PROGRESS RANCH TREATMENT SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
On January 2, 2024 at approximately 01: PM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Sara Luman-Gonzalez arrived unannounced at Progress Ranch Treatment Services for the purpose of conducting a Case Management-Incident Inspection. LPA was met at the door by House Supervisor, Danae Hall, and was granted access into the facility. During the Case Management-Incident Inspection, LPAs interviewed clients. Staff will be interviewed at a later date and time. LPAs requested the following documents: -Needs and Services Plan -LIC 602 -Staff Roster -Client Roster No deficiencies were cited during today's Case Management- Incident Inspection. Exit interview was conducted, and a copy of this report was signed and given to the Interim Regional Manager, Kourtney Hamilton.

report_type: Facility Evaluation

visit_type: Case Management

met_with: House Supervisor, Danae Hall Interim Regional Manager, Kourtney Hamilton


summary: Facility Evaluation

raw_content:
Narrative:
On February 8, 2024 at approximately 12: PM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Sara Luman-Gonzalez arrived unannounced at Progress Ranch Treatment Services for the purpose of conducting a Case Management-Other inspection. LPA was greeted at the door by Mental Health Worker, Patricia Button. Prospective Administrator, Danaye Hall arrived 15 minutes later. During the Case Management-Other inspection, LPA observed that the outside screen was taken off and placed on the floor. LPA educated the staff member regarding the importance of having ALL window screens on windows and the importance of ensuring that the Physical Plant of the facility meets Title 22 regulations (See LIC 9102-Technical Violation) No deficiencies were cited during today's Case Management- Other Inspection. Exit interview was conducted, and a copy of this report was signed and given to the Prospective Administrator, Danaye Hall.

met_with: Prospective Administrator, Danaye Hall


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2024 at approximately 9: AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Progress Ranch Treatment Services for the purpose of conducting a Case Management-Other inspection. LPA was greeted at the door by Therapeutic Care Worker, Kailah Bickle and was granted access into the facility. Facility Manager, Danaye Hall arrived 15 minutes later. During the Case Management-Other inspection, LPA conducted a tour of the facility with the Facility Manager, LPA and Facility Manager both observed that bedroom #3 has an electrical cover on the socket, but not the correct one, and the wires are still accessible. Furthermore, during this tour, LPA pulled back the living room couch and observed that the electrical cover was not secure which can be a safety risk to the clients in care. Facility Manager requested to also send the pictures to the work phone. LPA sent the pictures to the Facility Manager work phone. LPA provided Technical Assistance (See LIC 9102-Technical Assistance) regarding Regulation 80087(a). Facility Manager understood the regulation and the Technical Assistance provided during today's inspection. LPA granted an extension of a citation that was originally issued on February 26, 2024. Progress Ranch Treatment Services has an extension until March 8, 2024 to correct the deficiency. If this deficiency is not corrected by March 8, 2024, Civil Penalties will be assessed. No deficiencies were cited during today's Case Management- Other Inspection. Exit interview was conducted, and a copy of this report was signed and given to the Facility Manager, Danaye Hall.

met_with: Therapeutic Care Worker, Kailah Bickle Facility Manager, Danaye Hall


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2024 at approximately 01: PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Progress Ranch Treatment Services for the purpose of conducting a POC inspection. LPA was greeted at the door by Mental Health Worker, Logan Hungrige and was granted access into the facility. During the POC inspection, LPA toured the facility and found the previously cited deficiencies to be completed and addressed. Accordingly, this Plan of Correction (POC) has been completed. Exit interview was conducted and a copy of this report was given to Mental Health Worker, Logan Hungrige.

met_with: Mental Health Worker, Logan Hungrige


summary: Facility Evaluation

raw_content:
Narrative:
On June 28, 2024, at approximately 09: AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived at Progress Ranch Treatment Services announced for a voluntary facility closure, and met with the Administrator, Ian Longue. Community Care Licensing (CCL) received notification via email requesting a closure of the facility and stated that there were no clients in care. The Administrator notified Community Care Licensing of intent to close this facility on June 3, 2024 via email. Closure plans were forwarded to CCL for review. Administrator notified CCL that the facility will be closing on June 27, 2024. The licensee initiated this facility closure. LPA Sarangi inspected all rooms and the exterior of the building and found no evidence that would suggest that clients are residing on the premises. In addition, LPA observed that the facility is being remodeled. LPA observed moving boxes around the facility. All clothing and personal items belonging to clients have been removed. Clients that were living in the home have been relocated. LPA obtained the license for the facility. Facility closed effective June 27, 2024. Exit interview was conducted and a copy of this report was given to the Administrator, Ian Longue.

met_with: Administrator, Ian Longue


summary: Facility Evaluation

raw_content:
Narrative:
On 8/19/2021 at 10:15am Licensing Program Analyst (LPA) N. Sanders arrived at the facility's main office located at 1949 5th Ave, Davis, CA for the purpose of conducting case management/annual Continuation. LPA met with Steven Elson, Administrator. Facility employees six full time Staff,three on call Staff. one Administrator, one Program Manager and one Social Worker. LPA reviewed six staff, Facility Administrator's and facility Social Worker's files. LPA observed that staff files have Personal records, finger print clearances, Child abuse index, Health screening and TB tests are done, education is verified, staff are part of training to meet annual training requirements. LPA observed that five out of six client and their social worker have expired first aid certificates. The facility is cited for ILS 87065.1 (8) Training Requirements. A copy of this report and appeal rights were left with Steven Elson, Administrator.

met_with: Steven Elson, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 12/15/21 at 10: AM, an announced continuation SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's), Stefanie Whitlow and Hillary Hall, at STRTP (provisional) Progress Ranch Treatment Services Facility administration office located at 1949 5th Suite 103. Davis, Ca 95616 at 10: AM. LPA's reviewed four clients' records. LPA's reviewed three staff records. Since initial inspection, on 12/10/21, children's and staff records had been updated. LPA's, therefore, conducted a follow-up review of them on this date. Two clients' records out four reviewed had no client signature on Needs and Services Plans. Four clients' records reviewed out of four had no authorized representative signature on Needs and Services Plans. One client record review out of four had no record of receiving mental health services. Two clients' records reviewed out of four had JV 220 court forms that were out of compliance. One clients' records reviewed out of four had no JV 220 court forms. Two clients' records reviewed out of four had no indication the client participated in developing Needs and Services Plan. One client's records reviewed out of four had duplicate PMARs for one medication, Clonidine. One client's records out of four had PMAR that did not match the prescription for Sertraline, written by the doctor. One client's records out of four had PMAR for hydroxyzine initialed by two different staff at two different times. Continued on LIC 809-C ...Continued from LIC 809 pg. Facility citation violation of California Code of Regulations Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 87068.2(d): The licensee shall ensure and document that the child, and his/her authorized representative(s), and the child and family team were offered the opportunity to participate in the development of the needs and services plan (NSP). Facility failed to get the authorized representative's signature for clients NSP. Facility Citation violation of California Code of Regulations Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 80070(a)(13): In addition to California Code of Regulations, Title 22, Section 80070, the following shall apply: The following information regarding the child shall be obtained and maintained in the child's record: Documentation of all mental health services received by a child, to include the services received, the name of the mental health entity, and the date services were provided. Facility Citation violation of Health and Safety Code 1507.6(b)(1)&(2): Psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication and as authorized by the juvenile court pursuant to Section 369.5 or 739.5 of the Welfare and Institutions Code ...Continued from LIC 809-C Pg.. Facility citation violation of California Code of Regulations Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards 87070(b)(12)(G)(1): The licensee shall ensure a separate log for each psychotropic medication prescribed to a child documenting all of the following: The name of the medication. The date of the prescription. The quantity of medication and number of refills initially prescribed. When applicable, any additional refills prescribed. The required dosage and directions for use as specified in writing by the physician prescribing the medication, including any changes directed by the physician. The date and time of each dose taken by the child. Documentation of each refusal. Documentation shall include the name of the medication refused, date and time of the refusal, the reason for the refusal, who was notified of the refusal, and any observed results of the refusal. Staff initials for each time a psychotropic medication is taken by a child, as an indicate on that they supervised the child self-administering their psychotropic medication. LPA's conducted exit interview with ..., supervisor, who signed the LIC 809. A plan of correction was developed and appeal rights were explained. LPA's provided the Summary Report and appeal rights upon

met_with: Ian Longue


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman on 9/19/22 at 9:45am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Stidman met with Ian Longue, Program Manager and inspected the facility inside and out. LPA reviewed four child's records and four staff personnel files on site at the facility. LPA reviewed four child's psychotropic medications and medication records. LPA interviewed four staff on site to discuss the facilities policies and procedures of operation. LPA interviewed three children currently prescribed psychotropic medication. During the inspection the LPA observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Ian Longue, Program Manager. Facility citation violation of STRTP Interim Licensing Standards (ILS) regulation 87065.1(d)(3)(M) Supervision, Evaluation and Training Requirements per staff file review of four staff are missing documentation of staff receiving annual training on psychotropic medication. Facility citation violation of STRTP ILS 87070(b)(13) Children's records child file reviews conducted two out of four clients medication administration records for September 2022 one client file is missing staff initials of medication given at noon on 9/12/22, and for another client's medication administration record is missing the quantity for medication 1 and the date of the prescription for medication 2 and the prescription number for medication 3. Facility citation violation of STRTP ILS 87072(d)(19) Personal Rights Interviews of three clients conducted revealed all three residents stated they received consequences for refusing medication. Facility citation violation of STRTP ILS 87068.3(a) Modifications to the Needs and Services Plan. Based upon records reviewed records four clients Needs and Services Plans were not updated every 30 days.

met_with: Ian Longue, Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman on 9/8/23 at 8:15am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Stidman met with Ian Longue, Administrator and inspected the facility inside and out. LPA reviewed one child's records and six staff personnel files on site at the facility. LPA reviewed one child's psychotropic medications and medication records. LPA interviewed six staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one ___child currently prescribed psychotropic medication. During the inspection the LPA observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. Facility cited Interim Licensing Standards for STRTP Articles 1-10, Regulation 87070(b)(13) Children's Records and 87065.1(d)(3)(M) Supervision, Evaluation and Training Requirements. LPA observed one child's Psychotropic Medication Administration Record (PMAR) is missing staff initials and three staff files are missing documentation of training on psychotropic medications. Exit interview conducted and a copy of this report and a copy of the appeal rights were left at the facility with Ian Longue, Administrator.

met_with: Ian Longue, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/29/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Short Term Residential Therapeutic Program (STRTP) and met with Interim Regional Manager Kourtney Hamilton and House Manager Danaye Hall. A tour of the interior and exterior areas of the facility's physical plant was done; LPA interviewed a floor staffer; LPA also discussed the following with Ms. Hamilton and Ms. Hall: -screens on bedroom windows -trash bin covers -cleanliness of client bedrooms -incident reporting During the course of a previous inspection conducted jointly by this LPA and LPA Jacqueline Carmona, Buildings & Grounds issues were observed. Based on these direct observations, General Licensing Requirements Section 80087 is being cited. As a result of a records review and interviews with Progress Ranch personnel, it has been determined that the facility has not been submitting special incident reports to the Department for a period of about two to three weeks; therefore, also being cited in regard to the failure to submit special incident reports is General Licensing Requirements Section 80061(a). Exit interview conducted; a copy of this report is being provided to the facility.

met_with: Kourtney Hamilton


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 26, 2024 at approximately 01: PM, Licensing Program Analysts (LPAs), Farhaan Sarangi, Tatyana Shultz and Licensing Program Manager (LPM), Rosa Rodriguez arrived unannounced at Progress Ranch Treatment Services for the purpose of conducting a Case Management-Deficiencies inspection. LPA was greeted at the door by Facility Manager, Danaye Hall and was granted access into the facility. During the Case Management-Deficiencies inspection, LPAs and LPM observed that their was a exposed extension cord running from the top of the awning to the ground (See LIC 9102-Technical Violation). Staff unhooked it and stored it during the inspection. In addition, during the tour, LPA observed that their was an exposed electrical outlet in bedroom #3 and the back porch was observed to be dirty and debris was left on the floor (See LIC 809D). An exit interview was conducted at Progress Ranch Treatment Services with Facility Manager, Danae Hall and a copy of this report was signed and given to the Facility Manager. This case management is closed, and the facility has been cited for Buildings and Grounds (See LIC 809D). Appeal Rights have been provided to the Facility Manager.

Deficiencies:
80087(a): Shall include Licensee filling out an LIC 9098. In addition, Licensee shall conduct staff training to ensure that the facility has electrical fixtures secured and submit the picture to the LPA once repaired. Furthermore, Licensee shall fill out a statement on how future compliance will be met.
8
9
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14

met_with: Facility Manager, Danaye Hall.

title:
1
2
3
4
5
6
780087 Buildings and Grounds

(a)	The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.1
2
3
4
5
6
7Plan of Correction


facility_name: PROGRESS RANCH: CHESTNUT HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Diaz found inconsistency with the facility's Dinner Night Out contract and some of the staff was unaware who was in charge of updating the contract. Lastly when interviewing staff, LPA found that all staff denied withholding food from clients. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above allegation occurred; therefore, the above allegation is unsubstantiated. An exit interview was conducted with Ian Longue, Administrator. No deficiencies were cited. A copy of the report and Appeal Rights has been emailed.

Investigation Findings:
13On June 2, 2022, at 1:45PM Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above STRTP and met with Ian Longue, Administrator. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file. LPA Diaz conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 11 confidential interviews between 3/07/2022-04/20/2022. LPA Diaz obtained and reviewed the following documents: needs and service plan, case notes, Chestnut House dinner night out contract, staff schedule, and weekly menus. Based on interviews conducted, the allegation cannot be substantiated due to most witnesses stating that staff has never withheld food from clients, nor have they witnessed staff withholding food from clients. LPA also found some inconsistencies in some of the witness's interviews. When reviewing documentation LPA Report continues on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 06/02/2022

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Whether it would be a small bruise or scratches. Client stated that most marks are not visible. However, clients agreed that staff does not intentionally hurt them, and they understood that at times a restraint is not perfect because they are trying to get out of it. Some clients stated they have tried to fight their way out of a restraint. All clients did state they feel safe in the home. Although, staff has denied the allegation, LPA Diaz did physically see scratches on one of the client's arms. LPA Diaz took pictures of their arms on the state issued Iphone. Furthermore, LPA Diaz read through facility's program statement regarding their Emergency Intervention Plan. On page 346 it states, "The restraints must not cause injury to the child." LPA Diaz was able to identify five nail marks on client's right forearm. Nail marks had been scabbed over by the time LPA Diaz saw them, but where still visible. Based on LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence has been met, therefore the above allegation is found to be SUBSTANCIATED. California Code of Regulations, Title Regulations, Division 6, Article 10.1 are being cited on the attached LIC9099D. An exit interview was conducted with Ian Longue, Administrator. A copy of this report and appeal rights will be emailed.

Investigation Findings:
13On November 8, 2022, at 1:05PM Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above STRTP and met with Ian Longue, Administrator. The purpose of this inspection was to deliver findings for the above complaint allegation. Prior to delivering complaint findings LPA Diaz reviewed the client's file. LPA Diaz conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 11 confidential interviews. LPA Diaz obtained and reviewed the following documents needs and service plan, treatment plan, staff training, incident reports, and Emergency Intervention Plan. During the interview process LPA Diaz found that some clients have been hurt during a restraint in some way. LIC report continues on LIC9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, NATOMAS PARK DR., STE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 11/08/2022

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

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Based on interviews conducted during the investigation process, the allegations regarding staff conducting inappropriate restraints, facility was meeting therapy needs of the youth and staff meeting the hygiene needs of the youth cannot be substantiated because inconsistent statements were obtained during the interviews. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated. Exit interview was conducted with the House Manager. A copy of the report and Appeal Rights were provided during today's visit.

Investigation Findings:
13On 12/13/23 at 3: PM, Licensing Program Analyst, (LPA) Uchenna Ajaero conducted an unannounced complaint investigation visit to deliver finding. LPA Ajaero met with Danaye Hall, House Manager and informed her of the purpose of the visit. On 10.16.2023, LPA Monica Roberts visited Progress Ranch Chestnut House and met with Allyson Stogner, Mental Health Worker. LPA Roberts requested a copy of all allowance records from 7.2023-9.2023, Therapy notes from all youth from August and September 2023, receipts for incontinence supplies for the past 3 months, staff time punches from September 2023 to October 10, 2023, and procedure for reporting concerns/chain of command. None of these documents were available on-site during the visit. Confidential interviews were conducted between 10.16.23 and 11.30.23 and attempts to contact the Social Worker were not successful. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jodean Hall LICENSING EVALUATOR NAME: Uchenna Ajaero LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 12/13/2023

met_with: Danaye Hall, House Manager


raw_content:
Narrative:
Based on interviews conducted during the investigation process the above allegation is being substantiated because 8 out of 13 confidential interviews corroborated staff did not ensure minors have adequate clothing. On 11/17/ LPA Carmona observed there was no adequate amount of clothing in the client's bedroom. In addition, LPA Carmona was not able to obtain completed quarterly clothing assessments for all clients in care based on the approved Program Statement Section 21 by the Department. Based on interviews conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Interim Licensing Standards (ILS) are being cited on the attached LIC9099D. An exit interview was conducted. A copy of this report and the Appeal Rights were provided to House Supervisor. Based on interviews conducted during the investigation process the allegations above cannot be substantiated because there were inconsistent statements given during the confidential interviews. 12 confidential interviews conducted corroborated that there was an adequate supply of perishable foods in the facility. During a visit to the facility on 11/17/ LPA Carmona observed more than 2 days of perishable food. In addition, an image provided to the department of the perishable food in a refrigerator was only one of the 2 refrigerators located in the facility. 12 confidential interviews also corroborated the facility staff are meeting minor's incontinence needs. In addition, LPA Carmona observed incontinence needs supplies in the facility during the inspection visit on 11/17/23. 8 confidential interviews corroborated the facility is free of odors. Lastly, LPA Carmona did not witness any odor during the inspection visit on 11/17/23. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted. A copy of this report and the Appeal Rights were provided to the House Supervisor.

Investigation Findings:
13On 1/18/24 at approximately 12:30 p.m. Licensing Program Analyst (LPA) Jacqueline Carmona conducted an unannounced visit to the above Short Term Residential Therapeutic Program (STRTP) to deliver findings for the allegations noted above. LPA Carmona met with Radiance Clinton, House Supervisor. During the investigation, LPA Carmona reviewed the agency's file at the licensing office, including the complaint history and criminal background check for staff. LPA Carmona also reviewed the client's needs and service plans, LIC9020, LIC500, emails dated 10/02/23-10/12/23, staff schedule, clothing assessment, program statement sec 21, and grocery list receipt record for October 2023. LPA Carmona conducted 13 confidential interviews and LPA Cabigon conducted 3 confidential interviews between 11/01/23-12/14/23. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Jacqueline Carmona LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 01/18/2024

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: Radiance Clinton, House Supervisor


raw_content:
Narrative:
Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted. A copy of this report was provided to Regional Manager, Kourtney Hamilton.

Investigation Findings:
13On January 22, 2024 at approximately 01: PM Licensing Program Analysts (LPA) Farhaan Sarangi and Sara Luman-Gonzalez conducted a complaint investigation inspection at Progress Ranch: Chestnut and met with Regional Manager, Kourtney Hamilton for the purpose of delivering findings. During the investigation, LPA Sarangi reviewed the complaint history, criminal background check, incident reports and facility personnel report summary. LPA also reviewed client files. LPA Sarangi conducted interviews with staff and children in placement. Based on interviews conducted during the investigation process, LPA received inconsistent statements and could not corroborate the allegation. Furthermore, LPA interviewed the child in question and learned that during the incident, the child went to smell the food and accidentally sustained a small burn to the lip. LPA interviewed the staff member that was on duty that day and learned that the statements made by the child were consistent with the statement made by the staff member. (Report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Farhaan Sarangi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 01/22/2024

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

met_with: Regional Manager, Kourtney Hamilton


raw_content:
Narrative:
Though there have been corroborating reports of pests (cockroaches, in particular) found on the facility premises, Progress Ranch has provided documentation that shows that a pest control service has been maintained to continually try to address the issue. None interviewed described the matter as an "infestation." Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 03/07/ Licensing Program Analyst (LPA) Chad Cabigon and LPA Tatyana Shulz conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with House Manager Radiance Clinton to whom the following report was delivered: On 11/01/ LPA opened the complaint investigation in person and was given a tour of the interior and exterior areas of the facility's physical plant as part of the onsite inspection. Interviews were conducted with Progress Ranch clients and staff; maintenance records were also reviewed as part of this inquiry. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 03/07/2024

met_with: Radiance Clinton, House Manager


raw_content:
Narrative:
Based on information obtained from interviews conducted, there were inconsistent statements made during the investigation process. During an interview with the client in question, they could not articulate or provide details on when, where and how the burn was sustained. Collateral interview(s) revealed that the client has self injurious behaviors and has a history of making allegations against facility staff members from current and prior placement's. Witness interviews could not corroborate the allegation, and staff members denied physically harming the client. Furthermore, medical staff reported that client repeatedly turned the heat up during a 5-day 5150 hold at the Hospital and screamed for help and yelled "you guys are burning me". In addition, no additional follow up will be conducted by Davis PD on this allegation. Although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove the alleged violation did, nor did not occur, therefore, the allegation is unsubstantiated. Exit interview conducted, a copy of this report and the Appeal Rights were provided to the House Manager.

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

met_with: House Manager, Radiance Clinton


raw_content:
Narrative:
No definitive evidence was found to prove that confidential information was shared by the facility with unauthorized individuals. The party to whom the information was purportedly given denied receiving any such privileged information. Relatedly, though there was contact between a child and the referenced party that was supposedly prohibited, obtained statements were inconsistent on what the understanding was: no documented correspondence was produced to show a clear directive from the child's authorized representative about prohibited vs. allowed contacts. As for the allegation that staff are not following (the) treatment plan for (a) child, according to corroborating statements, the specialized therapist who was supposed to come to the facility had stopped rendering services to the child and attempts by the facility and the County to have the services resume were unsuccessful as the aforementioned provider did not maintain communication. Regarding possible staffing inadequacies, obtained information showed that it was not the case that a child was put up at a hotel because the facility was not able to meet staffing requirements-the children were put up overnight at a hotel due to some issue with the facility grounds that was being addressed. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 04/02/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Radiance Clinton, Administrator, and the following report was discussed. The investigation was opened on 11/30/2023 at the facility, during which time a tour of the interior and exterior areas of the program's physical plant was given and interviews were conducted with staff and clients; additional interviews were conducted throughout the course of the investigation. Records reviewed as part of this investigation were a child's Needs & Services Plans and facility correspondences. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 04/02/2024

met_with: Radiance Clinton, Administrator


raw_content:
Narrative:
According to Progress Ranch, though the listed administrator for this facility left before the next appointment was made official, the administrator role was being shared in practice by at least one credentialed individual and another whose credentials were in the process of being vetted. However, there were inconsistencies in the statements regarding whether operational tasks were actually carried out. Regarding mental health services personnel, based on interviews conducted by CCL, statements from staff and youth were inconsistent on how mental health treatment as a core service was provided. Finally, though obtained statements were consistent regarding the MHRS' (Mental Health Rehabilitation Specialist) workload becoming more difficult to manage because of a shortage of personnel who held that position, conducted interviews yielded inconsistent information about how, or if, the care for the children was negatively affected by this. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 04/02/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Administrator Radiance Clinton and the following report was discussed: LPA Jacqueline Carmona opened the investigation on 11/20/2023 during which time interviews were conducted with the children referenced in the complaint and staff. The interior and exterior areas of the facility's physical plant were toured. Relevant facility records were requested. Additional interviews were conducted by LPA Cabigon. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 04/02/2024

met_with: Administrator Radiance Clinton


raw_content:
Narrative:
Statements obtained from LPA's conducted in-person interviews were inconsistent and did not sufficiently corroborate the purported improper application of manual restraints. The client, themselves, did not acknowledge the allegation; but facility youths did indicate that restraints were being applied regularly, with one youth expressing that none of the children deserve to be place on holds. As for a child's unexplained injury, that client also did not report that the injury was caused by staff doing something intentionally to hurt said child. Out of multiple interviewees, none indicated having been witness to the child sustaining the injury. And regarding the reporting requirement deficiency, though the regulatory language requires reporting of unusual incidents to authorized representatives, there is no explicit provision for incident reporting concerning the specific incident at hand: the seeking of medical treatment by the facility on behalf of the youth; however, multiple Progress Ranch staff indicated that, for the particular incident in question, facility protocol dictates notifying that authorized representative. No supporting documentation was provided by either the facility or the responsible party that showed a clear agreement or expectation to report. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the appeal rights are being provided to the facility.

Investigation Findings:
13On 04/19/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) and met with Clinical Data Manager Ian Longue. The purpose of the inspection was to deliver the findings of, and close, this complaint investigation. The following report was discussed: LPA opened the investigation on 12/11/2023 in the facility. A tour of the interior and exterior facility grounds was done which resulted in no observed deficiencies related to Buildings & Grounds. Interviews were also conducted with clients and staff. Records reviewed as part of the investigation were Needs & Services Plans and incident reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 04/19/2024


raw_content:
Narrative:
Based on interviews conducted during the investigation process, the above allegations cannot be substantiated because inconsistent statements were obtained during the investigation process. The allegation that Staff handle minors in a rough manner was not sufficiently corroborated by any of the interviewed clients; the child referenced in the complaint does get placed in manual restraints but obtained statements were not consistent in describing these holds as unjustified or improperly applied. As for the Program's physical plant, through unannounced onsite inspections conducted on 11/30/2023 and on 04/02/2024, LPA did not observe any areas that were in disrepair; no weapons (or any items that could potentially be used as weapons) were found on facility grounds. Regarding staff speaking to youth inappropriately, no interviewed client confirmed the details of that allegation, though one client stated that staff occasionally yell and/or intentionally try to embarrass them by reprimanding a child in front of others in the facility. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are Unsubstantiated. Exit interview conducted; a copy of this report and of the Appeal Rights are being provided to the facility.

Investigation Findings:
13On 04/19/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this STRTP (Short Term Residential Therapeutic Program) to deliver the findings of, and close, the complaint investigation. LPA met with Clinical Data Manager Ian Longue and the following report was discussed: The investigation was opened on 11/30/2023, during which time interviews with multiple children and staff were conducted onsite. A tour of the facility grounds was also done on the same day. Additional interviews were conducted throughout the investigation. Records reviewed were children's Needs & Services Plans, incident reports, and staff training records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Chad Cabigon LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 04/19/2024


raw_content:
Narrative:
Furthermore, LPA conducted interviews with 2 out of 2 staff members that were present during the incident in question and interviews revealed inconsistent statements as it relates to the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted, and appeal rights were given. A copy of this report was provided to Administrator, Ian Longue.

Investigation Findings:
13On May 24, 2024 at approximately 12: PM, Licensing Program Analyst (LPA) Farhaan Sarangi arrived unannounced at Progress Ranch: Chestnut Home for the purposes of delivering complaint findings. LPA was greeated at the door by Mental Health Specialist, Sarah Mascardo and was granted access into the facility. Administrator, Ian Longue, arrived 10 minutes later. During the investigation, LPA Sarangi reviewed the complaint history, criminal background check, incident reports and facility personnel report summary. LPA Sarangi conducted interviews with staff and children in placement. Based on interviews conducted during the investigation process the above allegation cannot be substantiated because LPA received inconsistent statements and could not corroborate the allegation. LPA interviewed all children in placement including the child in question. (Report continued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Farhaan Sarangi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 05/24/2024

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

met_with: Administrator, Ian Longue Mental Health Specialist, Sarah Mascardo


raw_content:
Narrative:
LPA interviewed 3 out of 5 clients in placement including the client in question, but two clients did not want to give a statement. During an interview with the client in question, the client was observed to be free from bruises and marks. Furthermore, client was distracted and was not able to provide specific times or dates when this incident occurred. During an interview with the County Social Worker, the client disclosed different scenarios of the actual incident in question. Lastly, LPA attempted to interview the former staff member in question during the investigation process but was unsuccessful. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted, and appeal rights were given. A copy of this report was provided to Administrator, Ian Longue.

Investigation Findings:
13On June 24, 2024, at approximately 09: AM, Licensing Program Analyst (LPA) Farhaan Sarangi arrived unannounced at Progress Ranch: Chestnut Home for the purposes of delivering complaint findings. LPA was greeted at the door by Administrator, Ian Longue and was granted access into the facility. During the investigation, LPA Sarangi reviewed the complaint history, criminal background check, incident report(s) and facility personnel report summary. LPA Sarangi conducted interviews with the Administrator, children in placement and a witness. Based on interviews conducted during the investigation process the above allegations cannot be substantiated because LPA received inconsistent statements and could not corroborate the allegations. On May 24, 2024, LPA conducted a collateral interview with the Reporting Party, and learned that the reported incident was unclear of when the incident took place and/or who was involved in the incident. (Report conintued on LIC 9099C) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Farhaan Sarangi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: PROGRESS RANCH: CHESTNUT HOMEFACILITY NUMBER: VISIT DATE: 06/24/2024

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


summary: Facility Evaluation

raw_content:
Narrative:
On 12/10/21 at 9: AM, an announced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's), Stefanie Whitlow and Hillary Hall, at STRTP (provisional) Progress Ranch Facility. LPA's first met Director, Alyssum McGuire, at administration office located at 1949 5th Street Suite 103. Davis, Ca 95616. LPA's interviewed one administrator. LPA's reviewed five children's records. LPA's reviewed three staff's records. LPA observed court documentation and signatures on NSP's of client and authorized representatives missing from NSP's. See the two Advisory Notes- Technical Violation. LPA's then conducted inspection of the STRTP home located at address above at 2: PM. The facility was inspected inside and out. There were no deficiencies noted. LPA's interviewed seven children. LPA's interviewed two staff. LPA's will complete continuation inspection on 12/13/21. LPA's conducted exit interview with Gonzall Arriaga, supervisor, who signed the LIC 809. Appeal rights were not explained, as no citations were given. LPA provided the Summary Report, upon completion, by email.

met_with: Alyssum McGuire


summary: Facility Evaluation

raw_content:
Narrative:
On 12/13/21 at 10: AM, an announced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's), Stefanie Whitlow and Hillary Hall, at STRTP (provisional) Progress Ranch Treatment Services Facility located at address above. LPA's conducted medication count and PMAR comparison. In addition, LPA's met Director, Alyssum Maguire, at administration office located at 1949 5th Suite 103. Davis, Ca 95616, at 1: PM. LPA's interviewed one administrator. LPA's reviewed two children's records. Since initial inspection, on 12/10/21, children's records had been updated. LPA's will, therefore, be conducting a follow-up review of them when inspection is continued. There are no citations being given at this time. LPA's conducted exit interview with Alyssum Maquire. Appeal rights were not explained, as no citations were given. Due to FAS functionality issues, LPA was unable to obtain a signature. LPA provided the Summary Report, upon completion, by email, to be signed and returned.

met_with: Alyssum Maguire


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Yuvi Diaz made an unannounced annual/required inspection on August 30, 2022, at 11:30AM. During the inspection LPA met with Alyssum Maguire, Executive Director who assisted with the inspection. Mental health files, staff files, and client files are kept at their office. Office is located at 1949 5th Street Avenue STE. Davis, CA 95615. LPA Diaz reviewed four client files, four staff files, one administrator file, and clinician file. Medical files are kept at the license facilities. All files were kept in a confidential space. LPA Diaz will return at a later time to complete the inspection at the licensed facilities. An exit interview was conducted with Alyssum Maguire, Executive Director. No deficiencies were noted for today's inspection. A copy of this report will be emailed.

visit_type: Annual

met_with: Alyssum Maguire, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2022, at 1:00PM Licensing Program Analyst (LPA) Yuvi Diaz and Licensing Program Manager (LPM) Rosa Rodriguez conducted a meeting with Progress Ranch. Staff that attended the meeting: Alyssum Maguire, Executive Director, Ian Longue, Administrator, and Andrea Guthrie, Clinical Director. The following was reviewed: 1. Regulation 87095.22 (h)(1)(2)(A)(B)(C) Emergency Intervention Plan 2. Complaints involving restraints 3.Different types of restraints a .Seated Position b. Standing Position c. Children's Control Position d. Team Control Position 4. Administrator spoke about CPI training 5. LPM and LPA went over Progress Ranch Program Statement Section: Emergency Intervention Plan. Report continues on LIC 809-C 6. Administrator went over small child hold and LPM stated that there must be two people doing holds at all time. Per their CPI training the holds are based on the children's sizes and at times the small child hold requires one staff. This is a therapeutic hold. 7. LPM, and LPA will attend a CPI training sometime in the beginning of 2023 to understand and have more knowledge of what CPI training is. 8. LPM, and LPA will set up a follow-up meeting with Progress Ranch end of January or beginning of February 2023.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dawn Eunice (LPA) conducted a case management visit for the purpose of ensuring compliance with Health and Safety Codes and Interim Licensing Standards (ILS) related to an incident involving a restraint. LPA toured the facility; it is clean, safe, sanitary and in good repair; the incident report was well written and clear. Additionally, LPA interviewed the administrator and the staff involved in the incident. LPA interviewed the child. The incident (on 4-8-2023) involved a child who was unable to attend an outing for safety reasons. The child escalated. The child was banging their head onto the wall, punching themselves, then threatening self harm. The arm hold began at 2:27pm and ended at 2:30 p.m. The child's behavior became more unsafe, so, staff placed the child into a team hold from 2:31pm to 2:48pm. Intermediate check-in occurred with management staff. Staff offered the child with self soothing techniques, space, and when the child asked for food, food was given. Staff interviewed state that no such intervention has been required since the date of the incident. Based on LPA's interviews, review of incident reports and facility inspection, no ILS nor Health and Safety Code violations were found. (See LIC 812's for confidential interviews)

met_with: Theresa Rhodes, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 12/13/ Community Care Licensing, Children's Residential Program, Licensing Program Manager (LPM) Rosa Rodriguez, Licensing Program Analysts (LPA) Jacqueline Carmona, Farhaan Sarangi, and Chad Cabigon met with Progress Ranch Executive Director Alyssum Maguire, Director of Operations Matt Lemcke, Clinical Director Dr. Angie Branham, and Regional Manager Kourtney Hamilton for an Informal Meeting/Conference to discuss the following: - Sharp increase in number of complaints between both Progress Ranch locations: per Progress Ranch, part of the reason for this might have been an influx of new employees starting at around June/July of this year (2023) that was, in turn, a consequence of staffing for new facilities and to also bolster the current workforce. · Incident reports (full and 24-hr. notifications alike) not being submitted to CCL: directive for AM & Co. to look into whether or not there were actual reportable incidents that were not even documented at all (which are distinct from IRs being done but just not being submitted ultimately to CCL. · Required records availability: Ask from CCL was to have Progress Ranch implement a protocol wherein required records that Licensing may need are kept in a physical binder that would be readily and easily accessible on request. · Reports of staff not being supported and/or not properly equipped to meet the needs youth · Training: new emergency intervention plan component/element, Ukeru, is being reviewed by the State and, if approved, will be implemented as appliances that are part of the Ukeru system have come in--CC to look into when that program statement section can be sent back, approved, to Progress Ranch. · Key facility positions not filled: AM stated that only the board resolution for each facility administrator is needed to complete the "CCL packet" to re-designate roles to Samuel Ancheta for Chestnut, Danaye Hall for Grove; Mr. Ancheta will be designated both Head of Service (DHCS designation) and Administrator which prevents him from holding any other position. Per AM: Jalisa Chambers will be MHRS for Chestnut, and Sarah Mascardo will be MHRS and HOS for Grove. Plan, for now, is to outsource the Clinical Director position once Dr. Barnham vacates on December 29, 2023. (, 809-c) ·Mental health services not being rendered: per AM, no individual therapy was provided to clients between November 16 - November 26. Per AM, the newly appointed clinician, Joan Bruno, left Progress Ranch on 12/12/2023. · Allowances: it was made clear to Progress Ranch that allowances are due to youth regardless of whether or not they partake in or complete any chores they were assigned, the frequency of the disbursements are to be at least once a month. · Clients' personal property inventory and safeguarding: according to Progress Ranch, all of the current clients' personal property inventory have been done. · Youth being left unsupervised due to school drop-off that was not coordinated: presently being addressed by a complaint investigation. · General upkeep of physical plant: multiple specific items of concern were discussed and have been addressed/resolved via the complaint investigation and/or case management inspection process. · Co-mingling of youth between the two locations: hospital/emergency packet for each client will be kept at both facilities. · Communication issue(s): intra-organization flow of information: FS suggested that leadership remind floor staff of an open door policy in regard to being approached with concerns/issues. · Groceries - facilities regularly run low on perishables/non-perishables: suggestion is to keep inventory and up the frequency of grocery shopping to at least 2x/week to get a better idea who/how it's being used. · Availability of Progress Ranch personnel for Licensing and/or other agency visits: suggestion from FS--installation and utilization of Ring (or similar) doorbell. Pending exception approval regarding bunk bed set up in Chestnut will be requested for by AM. No citations are being issues as of this time; a copy of this report is being provided to Progress Ranch.

met_with: Alyssum Maguire, Matt Lemcke, Angie Barnham, Kourtney Hamilton


summary: Facility Evaluation

raw_content:
Narrative:
On February 9, 2024 at approximately 11: AM, Licensing Program Analyst (LPAs), Farhaan Sarangi arrived unannounced at Progress Ranch: Chestnut Home for the purpose of conducting a Case Management-Other Inspection. LPAs met with House Manager, Radiance Clinton and was granted access into the facility. Upon entry into the facility, LPAs observed that a facility window was shattered (See LIC 9102-Technical Violation). LPA educated the staff member regarding the importance of having ALL window screens on windows and the importance of ensuring that the Physical Plant of the facility meets Title 22 regulations. No deficiencies were cited during today's Case Management-Other inspection. Exit interview was conducted and a copy of this report was given to the House Manager, Radiance Clinton.


summary: Facility Evaluation

raw_content:
Narrative:
On June 24, 2024 at approximately 09: AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived at Progress Ranch: Chestnut Home announced for a voluntary facility Closure, and met with the Administrator, Ian Longue. Community Care Licensing (CCL) received notification via email requesting a closure of the facility and stated that there were no clients in care. The Administrator notified Community Care Licensing of intent to close this facility on June 3, 2024 via email. Closure plans were forwarded to CCL for review. Administrator notified CCL that the facility will be closing on June 27, 2024. The licensee initiated this facility closure. LPA Sarangi inspected all rooms and the exterior of the building and found no evidence that would suggest that clients are residing on the premises. In addition, LPA observed that the facility is being remodeled. All clothing and personal items belonging to clients have been removed. Clients that were living in the home have been relocated. LPA obtained the license for the facility. Facility will be closed effective June 27, 2024. Exit interview was conducted and a copy of this report was given to the Administrator, Ian Longue.

met_with: Administrator, Ian Longue


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 7/29/2021 at 9:00am Licensing Program Analyst (LPA) N. Sanders and Stephannie Verna arrived at the above facility for the purpose of conducing annual/required inspection. LPAs met with Ian Longe, Program Manager and inspected the facility inside and out. The facility is licensed for six clients. At this point there are five clients in care. The facility license, personal rights, facility sketch and an emergency disaster plan are posted at the entrance of the facility. There are three bedrooms, three bathrooms, two living rooms,a kitchen and a dining room in this facility. Each bedroom has tow beds, dressers and a closet space. Mattresses are clean and in good repair. Living rooms are filled with toys, board games,and other age appropriate activities. LPAs observed that TV was broken and requested to take a broken TV off the wall. LPAs observed that carpets were dirty and requested a deep cleaning. there are extra towels and linens for the clients. Kitchen is filled with utensils plates, cups and cooking pots and pants. there are two days of perishable and seven days of non perishable food. LPAs observed a lot of expired food and requested the facility to go though their food supplies and throw away expired food. LPAs observed that perishables were open and were not saved properly. LPAs requested for perishable food to be saved in containers or zip lock bags and have labels on them of the date they were opened. Cleaning supplies and poisons are locked in a cabinet in the staff room. The backyard s clean and free of clutter. There is a play set, storage bins for the toys and a shed filled with garden tools and broken items. The shed remains locked at all times. LPAs reviewed five clients files. LPAs observed the clients files were unorganized and missing required documentation. facility was cited for: ILS 87069.1(a) Medications: one client's file was missing immunization form CCR 8026(h) Safeguards for Cash Resources , Personal Property, and Valuables. It was observed that three out of five children's files were missing documentation about their valuables and personal properties. ILS 87072(d) Personal Rights : one client was missing signed personal rights ILS 87068.3(a) Modifications to Needs and Services Plan: five out of five clients are missing quarterly updates for their Needs and Services plans. Four out of five clients are missing original Needs and Services Plans. Technical Violations (TV) were issued for: CCR 80069(a) -Client Assessment: 30 day medical assessment were done several months after their placement. Considering the COVID-19 situation LPAs decided to issue TV instead of citation. ILS 87070(b)(1) - Facility is requested to document Identification Page for each client. LPAs will return to review staff files on another date. A copy of this report and appeal rights were provided.

Deficiencies:
87068.3(a): the child's needs for continuing services..."

met_with: Ian Longe, Program Manager

title:
Modifications to Needs and Services Plan

"Needs and Services Plans need to be updated at least every 30 days to determine the following


summary: Facility Evaluation

raw_content:
Narrative:
On 8/2/2021 at 9:00am Licensing Program Analyst N. Sanders arrived at Progress Ranch Main office located at 1949 5th St. Davis, CA 95616 to conduct annual/continuation inspection for Chestnut House, license number 577005990. LPA met with Mikey Martin, Administrative Assistant and explained the reason for the inspection. The facility has an Administrator, six full time staff and one full time Social Worker. LPA reviewed six staff, social worker's and administrator's files. Staff files have Personal Records, Clearance Records, Child Abuse Index, Job Application Records, Health Screening and TB tests, Criminal Record Statements and Employee Rights. Five employees have expired First Aid Certificates. Facility is cited for ILS 87065.1 (8) Training Requirements. LPA observed that Executive Director's files are not well organized. Technical Violation (TV) was issued for Title Regulations, Division 6, Chapter 1, Article 6, 80066(a): Personal Records. TV is not a citation but may result if the facility does not follow given directions. A copy of this file and appeal rights were left with Mikey Martin, Administrative Assistant.

met_with: Mickey Martin, Administrative Assistant


summary: Facility Evaluation

raw_content:
Narrative:
On 12/15/21 at 10: AM, an announced continuation SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA's), Stefanie Whitlow and Hillary Hall, at STRTP (provisional) Progress Ranch Treatment Services Facility administration office located at 1949 5th Suite 103. Davis, CA 95616 at 10: AM. LPA's reviewed four clients' records. LPA's reviewed three staff records. Since initial inspection, on 12/10/21, children's and staff records had been updated. LPA's, therefore, conducted a follow-up review of them on this date: Two clients records out of four reviewed had no client signature or authorized representative signature on the Needs and Service Plans. Two clients' records reviewed out of four had no indication the client participated in developing the Needs and Services Plan. One client did not have a Needs and Services Plan completed until more than 90 days after placement. One client record reviewed out of four had no record of receiving mental health services. One client record out of four had a non-psychotropic medication listed on a PMAR. One client out of four was lacking two separate PMAR's for different dosages of the medication, Aripiprazole. Facility citation violation of California Code of Regulations (CCR) Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section 87068.2(a)(d) Social work staff shall...develop an individual needs and services plan, within 30 days of placement, for the child that meets the requirements. (d)The licensee shall ensure and document that the child, and his/her authorized representative(s), and the child and family team were offered the opportunity to participate in the development of the needs and services plan (NSP). There is no indication the client participated in created the NSP. Continued on 809C Continued from 809 ...The facility failed to get the authorized representative's signature for client's NSP. Facility Citation violation of CCR Short-Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) Section 80070(a)(13): ... The following information regarding the child shall be obtained and maintained in the child's record: Documentation of all mental health services received by a child, to include the services received, the name of the mental health entity, and the date services were provided. Facility citation violation of CCR Short-Term Residential Therapeutic Program (STRTP) ILS Section 87070(b)(12)(G)(1): The licensee shall ensure a separate log for each psychotropic medication prescribed to a child documenting all of the following: The name of the medication. The date of the prescription. The quantity of medication and number of refills initially prescribed.... The required dosage and directions for use as specified in writing by the physician prescribing the medication, including any changes directed by the physician. The date and time of each dose taken by the child. LPA's conducted exit interview with Ian Longue, Administrator, who signed the LIC 809. A plan of correction was developed and appeal rights were explained. LPA's provided the Summary Report and appeal rights upon completion, by email.

met_with: Ian Longue, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman on 9/21/22 at 9:30am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Stidman met with Ian Longue, Program Manager and inspected the facility inside and out. LPA reviewed three child's records and four staff personnel files on site at the facility. LPA reviewed three child's psychotropic medications and medication records. LPA interviewed four staff on site to discuss the facilities policies and procedures of operation. LPA interviewed three children currently prescribed psychotropic medication. Facility cited violation of California Interim Licensing Standards 87070(b)(12) Children's Records. Based upon records reviewed one child's records is missing current JV 223 forms authorizing the use of psychotropic medications and another client is receiving a higher dosage of a psychotropic medication than allowed. Facility cited violation of California STRTP Interim Licensing Standards (ILS) 87070(b)(13)(C) Children's Records. Based upon records reviewed one child's records the Psychotropic Medication Administration Record (PMAR) is missing the quantity of medication initially prescribed for both medications. Facility cited violation of California STRTP ILS 87090(h)(1)(F) Initial Certification Training Program Vendor and Program Approval Requirements. Based upon file review for one staff is missing documentation of the Administrator Certification training topics for psychotropic medications. Facility cited violation of California STRTP ILS 87068.3(a) Modifications to the Needs and Services Plan (NSP). Based upon file review for three clients the NSP have not been updated within 30 days. During the inspection the LPA observed deficiencies (see attached 809D), plan of corrections were discussed and appeal rights were provided. LPA provided a copy of this licensing report to Ian Longue, Program Manager.

met_with: Ian Longue, Program Manager.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Jean Stidman on 9/8/23 at 12:15pm. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Stidman met with Ian Longue, Administrator and inspected the facility inside and out. LPA reviewed two child's records and six staff personnel files on site at the facility. LPA reviewed two child's psychotropic medications and medication records. LPA interviewed six staff on site to discuss the facilities policies and procedures of operation. LPA interviewed one child currently prescribed psychotropic medication. During the inspection the LPA observed one deficiency (see attached 809D), plan of correction was discussed and appeal rights were provided. Facility cited Interim Licensing Standards for STRTP Articles 1-10, 87068.3(a) Modification to the Needs and Services Plan. LPA observed one client's Needs and Services Plans were not updated within 30 days. Exit interview conducted and a copy of this report and a copy of the appeal rights were left at the facility with Ian Longue, Administrator.

Deficiencies:
87068.3(a): LPA observed one out of three client files reviewed was missing the updated Needs and Services Plans.

title:
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6
787068.3(a) Modification to the Needs and Services Plan. The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following


summary: Facility Evaluation

raw_content:
Narrative:
On 11/30/ Licensing Program Analyst (LPA) Chad Cabigon conducted an unannounced inspection of this Short Term Residential Therapeutic Program (STRTP) and met, initially, with House Supervisor Samuel Ancheta, then with Interim Regional Manager Kourtney Hamilton. A tour of the interior and exterior areas of the facility's physical plant was done; LPA interviewed staff; LPA also discussed the following with Ms. Hamilton: -screens on bedroom windows -window covers/curtains -unsanitary conditions of bathrooms, fixture(s) being in disrepair -bunk bed in a client room -incident reporting During the course of a previous inspection conducted jointly by this LPA and LPA Jacqueline Carmona, Buildings & Grounds issues were observed. Based on these direct observations, General Licensing Requirements Section 80087 is being cited. Also as a result of a records review and interviews with Progress Ranch personnel, it has been determined that the facility has not been submitting special incident reports to the Department for a period of about two to three weeks; therefore, also being cited in regard to the failure to submit special incident reports is General Licensing Requirements Section 80061(a). Exit interview conducted; a copy of this report is being provided to the facility.

met_with: Kourtney Hamilton


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2023 at approximately 10: AM, Licensing Program Analysts (LPAs), Farhaan Sarangi and Sara Luman-Gonzalez arrived unannounced at Progress Ranch: Chestnut Home for the purpose of conducting a Case Management-Deficiencies Inspection. LPA was met at the door by Therapeutic Care Worker, Patricia Button, and was granted access into the facility. Program Manager, Kourtney Hamilton arrived 30 minutes later. During the Case Management-Deficiencies Inspection, LPAs reviewed a sample of client records and found that three clients did not have a signed Needs and Services Plan as outlined in Title 22 regulations (See LIC 809D). LPA requested copies of the Needs and Services Plans for all three clients in care. Deficiencies cited from the California Code of Regulations. Appeal rights were given. Failure to correct the deficiency and/or repeated deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Program Manager, Kourtney Hamilton.

met_with: Therapeutic Care Worker, Patricia Button Program Manager, Kourtney Hamilton


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On December 21, 2023 at approximately 02: PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Progress Ranch: Chestnut Home for the purpose of conducting a Case Management-Incident Inspection. LPA was met at the door by Therapeutic Care Worker, Patricia Button, and was granted access into the facility. During the Case Management-Incident Inspection, LPA received an incident report on December 17, 2023 indicating that a client was given an additional dose of medication on December 7, 2023. Clients physician was contacted and instructions were given to staff (See LIC 809D). Deficiencies cited from the California Code of Regulations. Appeal rights were given. Failure to correct the deficiency and/or repeated deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Mental Health Worker, Patricia Tinajera.

Deficiencies:
87075: (c)	Psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 87070(b)(13).1
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7Plan of Correction: Shall include Licensee filling out an LIC 9098. In addition, Licensee shall conduct staff training to ensure that clients are getting proper medication administered. Furthermore, Licensee shall fill out a statement on how future compliance will be met.
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met_with: Therapeutic Care Worker, Patricia Button Mental Health Worker, Patricia Tinajera

title:
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787075(c) Health Related Services


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
"AMENDED" This is an amended version of the original report created on February 8, 2024-SEE BELOW. On February 8, 2024 at approximately 2: PM, Licensing Program Analyst (LPAs), Farhaan Sarangi arrived unannounced at Progress Ranch: Chestnut Home for the purpose of conducting a Case Management-Deficiencies Inspection. LPAs met with House Manager, Radiance Clinton and was granted access into the facility. During the Case Management-Deficiencies Inspection LPA received an incident report on February 7, 2024 reporting that a client was given one less dose of medication on February 6, 2024. Clients physician was contacted and instructions were given to staff (See LIC 809D). LPAs requested the following documents: -Medication Count Sheet(s) -Medication Administration Record (MAR) for said date Deficiencies cited from the California Code of Regulations. Civil Penalty in the amount of $250.00 was assessed. Civil Penalty Appeal rights and Appeal Rights were given. Failure to correct the deficiency and/or repeated deficiencies within a 12-month period may result in additional Civil Penalties. Exit interview was conducted, and a copy of this report was signed and given to the House Manager, Radiance Clinton.

Deficiencies:
87075: (c) Psychotropic medications shall be used only in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 87070(b)(13).1
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7Plan of Correction: Shall include Licensee filling out an LIC 9098. In addition, Licensee shall conduct staff training to ensure that clients are getting proper medication administered. Furthermore, Licensee shall fill out a statement on how future compliance will be met.
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14

met_with: House Manager, Radiance Clinton


summary: Facility Evaluation

raw_content:
Narrative:
On February 21, 2024 at approximately 12: PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Progress Ranch: Chestnut Home for the purpose of conducting a Case Management-Incident Inspection. LPA was met at the door by Therapeutic Care Worker, Patricia Button, and was granted access into the facility. Management staff arrived 40 minutes later. During the Case Management-Incident inspection, LPA interviewed a client in care and a staff member. LPA conducted a walk-through of the facility and observed the facility to be clean with all exits free from obstruction. LPA observed sufficient perishable and non-perishable foods. Food menu was also observed on the refrigerator. LPA requested the following document: -Incident Report dated for February 12, LPA reviewed the Incident Report dated for February 12, 2024 (See LIC 9102-Technical Violation) which reflected the incident in question. During the review of the incident report, LPA noted that the child did express fear of being alone in the dark in the bedroom. However, the former staff member closed the door. This incident was observed by another staff member who reported it to management. Incident report noted that there were no night lights. Former staff member was terminated. LPA requested termination documents to be sent via email. Exit interview was conducted and a copy of this report was signed and given to the Administrator. This Case Management Investigation is now closed, and the facility has been cited for Personal Rights (See LIC 809D). Appeals Rights were provided to the facility.

met_with: Therapeutic Care Worker, Patricia Button House Supervisor, Radiance Clinton Clinical Data Manager, Ian Longue


facility_name: PROJECT 14:14 INC

raw_content:
Investigation Findings:
13On June 3, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a complaint inspection at Project 14: STRTP, LPAs met with Camia Scherer. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the investigation, LPA interviewed staff and clients which revealed that in fact facility staff were searching rooms. Based on LPA's observations, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal rights were provided to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia 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 FRESNO RO, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/16/2025 and conducted by Evaluator Briana Placencia PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:PROJECT 14: INCFACILITY NUMBER: ADMINISTRATOR:RITA STEVENSONFACILITY TYPE: ADDRESS: N. Fruit Ave.TELEPHONE: (559) 705- CITY:FRESNOSTATE: CAZIP CODE: CAPACITY:6CENSUS: 2DATE: 06/03/ UNANNOUNCEDTIME BEGAN: 12: PM MET WITH:Camia SchererTIME COMPLETED:01: PM 9Staff is under the influence of drugs. Staff do not follow court orders. Facility not meeting the nutritional needs of clients. Staff drive clients while under the influence of drugs. Staff speak inappropriately to youth in care. INVESTIGATION FINDINGS: 13On June 3, 2025, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja conducted a complaint inspection at Project 14: STRTP and met with Camia Scherer. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the investigation, LPA conducted interviews, a records review and reviewed supporting documents provided by the facility. Based on confidential interviews and other information obtained, the department has made the following determination. Although the allegations may have happened or are valid, there is not a preponderance of evidence to provide the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Melikian LICENSING EVALUATOR NAME: Briana Placencia 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 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FRESNO RO, E SHAW AVE FACILITY NAME: PROJECT 14: INCFACILITY NUMBER: 107207232

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: Camia Scherer


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2023, Licensing Program Analysts (LPAs) Briana Placencia, Cynthia Galindo and Licensing Program Manager (LPM) Juanita Arroyo met with Chastity Day and Rita Stevenson for Component two of the application process. This meeting was to discuss the application, resolve any questions and determine whether the agency has the knowledge, ability, and resources to operate in compliance with licensing laws and regulations. The following items were discussed: responsibilities of the Board of Directors, keeping up with the Title 22 regulations and Interim licensing standards, cell phone policy, staff responsibilities/duties, incident reporting procedures, including law enforcement contact, clients personal rights, staff records requirements, prudent parenting standards, core therapeutic services, emergency intervention plan, and guardian background checks. Types of Licensing Visits: ~Pre Licensing ~Post Licensing ~Annual unannounced ~Complaint unannounced ~Plan of Correction unannounced ~Case Management unannounced It was determined that at this time CCL and SOC will review the fourth (4th) revision of the Plan of Operation and Program Statement for Project 14:14. An exit interview was conducted and a signed copy of this LIC 809 was given to Chastity Day.

met_with: Chasity Day and Rita Stevenson


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2023, Licensing Program Analysts (LPAs) Briana Placencia and Cynthia Galindo travelled to Project 14:14, located at N. Fruit Ave Fresno CA 93711, to conduct a Pre-licensing inspection. LPA's were met at the facility by Licensee Chastity Day and Rita Stevenson. 1. Facility Grounds were clear from debris 2. Outdoor space observed. Sliding screen door is ripped and in disrepair. One bedroom window had no screen and front of house screen was observed to be ripped. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications were discussed. There is currently a locked space for medications. 5. First aid kit is in need of a thermometer. 6. Adequate storage space observed. 7. Individual beds in good repair with enough storage. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Minimal nonperishable foods were observed at this time. 10. Weekly mock menu observed. 11. Dining room observed. Table and chairs for the facility were observed during inspection. 12. Facility has two full restrooms, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. 13. Licensee has a vehicle for use at the facility. Including insurance and registration. 14. Licensee already has a guardian account and two staff are currently associated. Fire clearance was completed on January 19, 2023.

visit_type: Prelicensing

met_with: Chastity Day


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, Licensing Program Analysts (LPAs) Briana Placencia and Angelica Borja travelled to Project 14:14, located at N. Fruit Ave Fresno CA 93711, to conduct a Second Pre-licensing inspection. LPA's were met at the facility by Licensee Chastity Day and Rita Stevenson. 1. Facility Grounds were clear from debris 2. Outdoor space observed. 3. Chemicals were locked upon inspection. 4. Locked and centrally stored medications were observed. There is currently a locked space for medications. 5. First aid kit was observed. 6. Adequate storage space observed. 7. Individual beds in good repair with enough storage. 8. The house has 3 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Minimal nonperishable foods were observed at this time. 10. Weekly mock menu observed. 11. Dining room observed. Table and chairs for the facility were observed during inspection. 12. Facility has two full restrooms, both are operable. Facility is to ensure water temperature is maintained between 105 and 120 degrees. It is currently reading 103.1F. 13. Licensee has a vehicle for use at the facility. Including insurance and registration. 14. Licensee already has a guardian account and two staff are currently associated. 15. Licensee states they will be building a wall for confidential interviews/sessions. Fire clearance was completed on January 19, 2023.


summary: Facility Evaluation

raw_content:
Narrative:
On August 12 2024, Licensing Program Analysts (LPAs) Angelica Borja and Briana Placencia conducted a post-licensing inspection at Project 14: Inc and met with Rita Stevenson, Administrator. A inspection of the facility was conducted. The STRTP currently has one client in care. The STRTP currently employs Administrator/Facility Manager, five Direct Care staff and one Social Worker. LPA reviewed 4 staff files and one client file. Unable to interview as client AWOL'd during the inspection. The STRTP currently has no firearms and no swimming pool. A review of the Licensing Information System on August 12, 2024, indicates that all facility staff are associated to the STRTP and have DOJ, FBI, and child abuse index check clearances. At this time the STRTP is in the process of accreditation. One Technical Advisory was cited during todays inspection. The STRTP will also submit an updated LIC 500 to LPA Borja within the next two weeks. A copy of this report and appeal rights will was left at the facility at the conclusion of this inspection.

met_with: Rita Stevenson