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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300603549
Report Date: 11/14/2022
Date Signed: 11/14/2022 10:36:42 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. REGION AC/RES., 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/08/2022 and conducted by Evaluator Eduardo Barragan
PUBLIC
COMPLAINT CONTROL NUMBER: 22-CR-20220908090655

FACILITY NAME:NEW ALTERNATIVES, INC #5FACILITY NUMBER:
300603549
ADMINISTRATOR:MEAGHAN CRITCHLOWFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:20CENSUS: 3DATE:
11/14/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Taylor Rehak, Clinical Director and Daisy Madera, Assistant Program Director.TIME COMPLETED:
10:40 AM
ALLEGATION(S):
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A minor was injured by another minor while in care.
INVESTIGATION FINDINGS:
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On November 14, 2022, at 9:45 AM, Licensing Program Analyst (LPA) Eduardo Barragan conducted a complaint inspection at New Alternatives Inc #5 and met with Taylor Rehak, assistant Clinical Director and Daisy Madera, Assistant Program Director. The purpose of the inspection was to deliver the findings for the above complaint allegation. LPA Eduardo Barragan conducted an inspection of the facility on September 08, 2022, and no deficiencies were noted. LPA Barragan interviewed three of three clients (C1 – C3), four of four staff (S1 – S4), reviewed needs and service reports, staff schedules and incident reports.

The Department has investigated the complaint alleging C3 was injured by C2 while in care. Interviews confirmed that C3 was injured by C2 while in care, which resulted in C3 having to get five staples on his head. The facility knew that C2 had a trend of hurting clients and had escalating behaviors, yet C2’s supervision was not increased nor did the facility provide extra supervision to the other clients to keep them safe.
CONTINUED...
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Ann Valenzuela
LICENSING EVALUATOR NAME: Eduardo Barragan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
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 5
Control Number 22-CR-20220908090655
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. REGION AC/RES., 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: NEW ALTERNATIVES, INC #5
FACILITY NUMBER: 300603549
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2022
Section Cited
ILS
87078(b)
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87078 Responsibility for Providing Care and Supervision (b) The licensee shall provide those services identified in each child's…needs…as applicable, as necessary to meet the child's or nonminor dependent’s needs
This requirment is not met as evidence by:
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The Licensee stated that they will be increasing supervision with clients as needed.
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Based on confidential interviews and record review, the facility knew that C2 had a trend of hurting clients and escalating behaviors, yet C2’s supervision was not increased nor did the facility provide extra supervision to the other clients. Which resulted in C2 assaulting C3 and C3 having to get five staples on his head, which poses and immediate Health, Safety, and Personal Rights risks to the clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ann Valenzuela
LICENSING EVALUATOR NAME: Eduardo Barragan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-CR-20220908090655
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. REGION AC/RES., 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: NEW ALTERNATIVES, INC #5
FACILITY NUMBER: 300603549
VISIT DATE: 11/14/2022
NARRATIVE
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 Which resulted in C2 assaulting and injuring C3. All interviews confirmed this information as well. There are corroborating statements regarding the allegations.

Based on LPA's observations, confidential interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Interim Licensing Standards Section 87078(b) Responsibility for Providing Care and Supervision

LPA conducted an exit interview and provided a copy of this report along with appeal rights to Taylor Rehak, Clinical Director and Daisy Madera, Assistant Program Director.
SUPERVISORS NAME: Ann Valenzuela
LICENSING EVALUATOR NAME: Eduardo Barragan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5