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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603968
Report Date: 11/19/2024
Date Signed: 11/19/2024 03:13:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2024 and conducted by Evaluator Jacob Salem
PUBLIC
COMPLAINT CONTROL NUMBER: 08-CR-20240919151633
FACILITY NAME:A.B. JESSIE POLINSKY CHILDREN'S CENTERFACILITY NUMBER:
374603968
ADMINISTRATOR:ROSAS, ELIZABETHFACILITY TYPE:
721
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:204CENSUS: 17DATE:
11/19/2024
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Elizabeth Rosas, AdministratorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff made inappropriate comments towards minors.
Staff are intimidating minors.
INVESTIGATION FINDINGS:
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On November 19, 2024, at 2:15 PM, Licensing Program Analyst (LPA) Jacob Salem met with Elizabeth Rosas, Administrator of A.B. Jessie Polinsky Children’s Center (PCC) to deliver the findings for the above-stated allegations. LPA Salem initiated a complaint inspection at the facility on 9/20/2024 at 2:30 PM and no immediate deficiencies were observed. During the investigation, LPA Salem interviewed Clients (C1-C6) and Staff (S1-S7). LPA Salem obtained and reviewed pertinent records.

On September 19, 2024, Community Care Licensing (CCL) received an allegation that staff (S1 and S2) made inappropriate comments towards minors (C1 and C2). It was reported that two staff in one of the cottages were bullying minors, specifically using profanity toward clients, and making fun of clients for their sexual orientation and ethnicity. It was also reported that S1 and S2 used inappropriate language around the clients, including racial slurs and conversations related to prostitution and female anatomy.

CONTINUED...
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Dawn SeguraTELEPHONE: (951) -782-4207
LICENSING EVALUATOR NAME: Jacob SalemTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
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 3
Control Number 08-CR-20240919151633
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTER
FACILITY NUMBER: 374603968
VISIT DATE: 11/19/2024
NARRATIVE
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...CONTINUED

Confidential interviews and records reviewed indicated that S1 and S2’s misconduct was reported to PCC management, and as a result, the two staff members involved were separated to different cottages. Confidential interviews indicated that S1 and S2’s misconduct decreased significantly when this staffing change occurred. Confidential interviews and records reviewed indicated that C1 was behaviorally challenging while living at PCC, exhibiting defiant and aggressive behavior toward staff, as well as suffering from incontinence and refusing to shower. Confidential interviews indicated that S1 and S2 made abusive comments toward C1 that were related to C1’s challenging behaviors, as well as insults about C1’s weight. Conflicting confidential interviews indicated that S1 was the only staff who used abusive language toward C1. Confidential interviews indicated that some of the verbal abuse involving C1 was not said directly to C1 but while C1 was in hearing distance. Confidential interviews indicated that S1 made a disparaging remark to C2 regarding C2’s dating preferences. Confidential interviews indicated that S1 and S2 used profanity while speaking to clients (C1-C3), as well as used profanity openly in the residential unit and spoke about topics that are inappropriate for young children in the presence of clients in care.

The Department also received the allegation that staff (S1) are intimidating minors. It was reported that S1 tried to “square up” with clients and challenged C1 to fight after C1 threatened S1. Confidential interviews indicated that S1 made a threatening and challenging remark to C1 in response to C1 threatening them. A confidential interview indicated that S1 did not do anything physical and just argued with the clients. Conflicting confidential interviews indicated that S1 approached clients closely and postured combatively in a challenging manner when clients were defiant or behaviorally challenging. Confidential interviews indicated that multiple clients in the residential unit are fearful of S1.

Based on confidential interviews and records reviewed, the allegations that staff made inappropriate comments towards minors and that staff are intimidating minors are substantiated because the preponderance of evidence has been met. This poses a potential Health, Safety, or Personal Rights risk to children in care, and the facility will be cited for violating California Code of Regulations, Title 22, Division 6, Chapter 5, Section 84072(d)(18) and Chapter 5, Section 84072(d)(1). An exit interview was conducted, and a plan of correction was developed with Administrator Rosas. A copy of this report and appeal rights were provided to Elizabeth Rosas, Administrator.
SUPERVISOR'S NAME: Dawn SeguraTELEPHONE: (951) -782-4207
LICENSING EVALUATOR NAME: Jacob SalemTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-CR-20240919151633
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: A.B. JESSIE POLINSKY CHILDREN'S CENTER
FACILITY NUMBER: 374603968
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/22/2024
Section Cited
CCR
84072(d)(18)
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84072 Personal Rights (d)(18) “The licensee shall ensure that each child, regardless of whether the child is in foster care, is accorded the personal rights... to be accorded dignity in their personal relationships with staff and other persons.”
This requirement was not met as evidenced by:
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Per administrator, S1 and S2 will be retrained in Personal rights conducted by administrator Rosas and proof of training and materials will be provided to LPA Salem by Friday 11/22/24 at 5:00 PM.

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Based on interviews, the licensee did not ensure that each client was accorded dignity in his/her personal relationships with staff in three of fifteen persons in care (C1-C3), which posed an potential Health, Safety, or Personal Rights risk to persons in care.
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Additionally, S1 and S2 will be provided trauma-informed care training by 12/12/24, and S2 will recieve Pro-act refresher by 12/12/24. S1 received a pro-act refresher on 10/23/24 to 10/24/2024. Proof of of training will be provided to LPA Salem by 12/12/24 at 5:00 PM.
Type B
11/22/2024
Section Cited
CCR
84072(d)(1)
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84072 Personal Rights (d)(1) “The licensee shall ensure that each child…is accorded the personal rights…To live in a safe, healthy, and comfortable home where they are treated with respect.”
This requirement was not met as evidenced by:
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Per administrator, S1 and S2 will be retrained in Personal rights conducted by administrator Rosas and proof of training and materials will be provided to LPA Salem by Friday 11/22/24 at 5:00 PM.
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Based on interviews, the licensee did not ensure that each child was accorded a safe and comfortable home in two of fifteen persons in care (C1 and C2), which posed an potential Health, Safety, or Personal Rights risk to persons in care.
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Additionally, S1 and S2 will be provided trauma-informed care training by 12/12/24, and S2 will recieve Pro-act refresher by 12/12/24. S1 received a pro-act refresher on 10/23/24 to 10/24/2024. Proof of of training will be provided to LPA Salem by 12/12/24 at 5:00 PM.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Dawn SeguraTELEPHONE: (951) -782-4207
LICENSING EVALUATOR NAME: Jacob SalemTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC9099 (FAS) - (06/04)
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