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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600197
Report Date: 01/27/2022
Date Signed: 01/28/2022 10:29:29 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2021 and conducted by Evaluator Daniel Mena
COMPLAINT CONTROL NUMBER: 08-CR-20210510103432
FACILITY NAME:NEW ALTERNATIVES, INC. #16FACILITY NUMBER:
374600197
ADMINISTRATOR:MATTHEW JAEGERFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:81CENSUS: 32DATE:
01/27/2022
UNANNOUNCEDTIME BEGAN:
11:12 AM
MET WITH:Shomari BondTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Staff inappropriately touched minor in care.
Staff caused injuries to minor.
Staff did not prevent minor from self-harming.
INVESTIGATION FINDINGS:
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LPA Mena met with Assistant Program Director, Shomari Bond to discuss the investigative findings for the above stated allegations. An investigation was conducted by LPAs Gloria Meza and Daniel Mena regarding allegations. LPA Meza and Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on May 18, 2021 at 3:30pm and LPA Mena on December 01, 2021 at 1:10pm. No immediate hazards observed. LPAs interviewed four staff (S1, S2, S3 & S4), one of one foster children (C1), as well as reviewed client and facility records.
Community Care Licensing received information on May 10, 2021 alleging that facility staff did not prevent Child # 1 (C1) from self-harming, as well as inappropriately touched and caused injuries to C1 during a restraint. Information obtained did not corroborate the allegations with a preponderance of evidence. Confidential interviews denied allegations that any staff had ever pinched, pushed, inappropriately touched or handled C1 in a rough manner during restraint. According to confidential interviews, although C1 was
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natasha Dunlap
LICENSING EVALUATOR NAME: Daniel Mena
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022
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 2
Control Number 08-CR-20210510103432
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: NEW ALTERNATIVES, INC. #16
FACILITY NUMBER: 374600197
VISIT DATE: 01/27/2022
NARRATIVE
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restrained on 05/06/21 due to self-injurious behaviors and becoming physically assaultive towards staff, confidential interviews denied that C1 was ever pinched, pushed or touched near vaginal area during this restraint. Confidential interviews denied having knowledge or having seen bruises or injuries on C1 after restraint. Confidential interviews also denied that staff failed to intervene during incident in which C1 attempted to self-harm with objects inside their bedroom. While other confidential information received by licensing office stated that the allegations had occurred and that staff had pushed and pinched C1 on their legs near their private parts during restraint, resulting in bruising
Based on confidential interviews and information obtained, the allegations that facility staff did not prevent Child # 1 (C1) from self-harming, as well as inappropriately touched and caused injuries to C1 during a restraint, may have occurred, however is not supported or proven by evidence. Therefore, the above allegations are unsubstantiated at this time.
Exit interview was conducted and a copy of this report was provided
SUPERVISORS NAME: Natasha Dunlap
LICENSING EVALUATOR NAME: Daniel Mena
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2