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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330902381
Report Date: 08/11/2022
Date Signed: 08/12/2022 01:53:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 600
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/15/2021 and conducted by Evaluator Daniel Mena
COMPLAINT CONTROL NUMBER: 19-CR-20211115113116
FACILITY NAME:CHILDHELP MERV GRIFFIN VILLAGEFACILITY NUMBER:
330902381
ADMINISTRATOR:JESSE JORRINFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:84CENSUS: 19DATE:
08/11/2022
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Manuel Barragan TIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff were physically abusive to minors in care.
Staff inappropriately restrained minors.
Staff used inappropriate forms of discipline on minors.
Staff are verbally abusive to minors.
Staff misappropriated minors' funds.
Staff falsified documents.
Facility is not ensuring that children receive their allowances.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Daniel Mena met with Director of Support Services, Manuel Barragan to discuss the investigative findings for the above stated allegations. Licensing Program Analysts (LPAs), Lorena Valenzuela and Daniel Mena conducted an inspection to the Short Term Residential Therapeutic Program (STRTP) on November 24, 2021 at 12:16pm. No immediate hazards observed. LPAs Valenzuela and Mena interviewed four staff (S1, S2, S3 & S4), as well as reviewed client and facility records.
Community Care Licensing received information on November 15, 2021 alleging that facility staff were falsifying documents, inappropriately restraining, being verbally abusive, using inappropriate forms of discipline and were being physically abusive to minors, as well as were not ensuring that children received their allowance by misappropriating their funds. According to confidential interviews, the allegations were broad and were referring to incidents and complaints that the STRTP had either self-reported or had recently been
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natasha Dunlap
LICENSING EVALUATOR NAME: Daniel Mena
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
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 19-CR-20211115113116
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 600
RIVERSIDE, CA 92501
FACILITY NAME: CHILDHELP MERV GRIFFIN VILLAGE
FACILITY NUMBER: 330902381
VISIT DATE: 08/11/2022
NARRATIVE
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 investigated by Licensing Office. During the investigation, LPA Mena received indeterminate information. LPA was unable to determine who was involved and identify additional witnesses to these allegations.
Based on confidential information obtained during the course of this investigation, the allegations that facility staff were falsifying documents, inappropriately restraining, being verbally abusive, using inappropriate forms of discipline and were being physically abusive to minors, as well as were not ensuring that children received their allowance by misappropriating their funds, 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: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2