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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366408260
Report Date: 07/08/2022
Date Signed: 07/08/2022 10:17:55 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, 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
03/29/2022 and conducted by Evaluator Adaleyci Caballero
PUBLIC
COMPLAINT CONTROL NUMBER: 19-CR-20220329171501
FACILITY NAME:SOJOURNERS HAVEN IIIFACILITY NUMBER:
366408260
ADMINISTRATOR:LATRESE ARMSTRONGFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 5DATE:
07/08/2022
UNANNOUNCEDTIME BEGAN:
09:59 AM
MET WITH:Sherrae Smith-Administrator TIME COMPLETED:
10:16 AM
ALLEGATION(S):
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Minor sustained injuries while in care.
Staff do not prevent altercations between youth.
Staff locked minor out of the group home.
INVESTIGATION FINDINGS:
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On July 8, 2022 at 9:59AM, Licensing Program Analysts (LPAs) Adaleyci Caballero and Cynthia Urena met with Sojourners Haven III Administrator Sherrae Smith to discuss the investigative findings for the above stated allegations involving a client in the facility. On March 29, 2022, Community Care Licensing received information alleging that a minor sustained injuries while in care, staff do not prevent altercations between youth, and staff locked minor out of the Short-Term Residential Therapeutic Program (STRTP).

On April 7, 2022 at 12:15PM, LPA Caballero initiated the investigation at the facility and a safety inspection was conducted. There were no immediate hazards observed. During the visit, LPA interviewed one staff and one client. On June 8, 2022, LPA Caballero visited the facility for additional interviews; LPA interviewed two staff and two clients.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Abdoulaye Traore
LICENSING EVALUATOR NAME: Adaleyci Caballero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022
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-20220329171501
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: SOJOURNERS HAVEN III
FACILITY NUMBER: 366408260
VISIT DATE: 07/08/2022
NARRATIVE
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For the allegations regarding a minor sustained injuries while in care and staff do not prevent altercations between youth, it was alleged that client #1 (C1) was jumped by another client at the facility. Specifically, it was alleged that Client #3 (C3) walked into C1’s room and started to hit (C1) in (C1)’s arms, grabbed (C1) by the hair, and was beating (C1) in (C1)’s back. Additionally, (C1) reports having bruises on (C1)’s body. Furthermore, it was indicated that another client in care put client’s arms around (C1)’s neck with no further details. A confidential interview reported that (C1) was warned not to touch (C3)’s belongings and (C1) did so, (C3) hit (C1). Confidential interviews stated staff do not let the clients in care fight. Other confidential interviews stated (C1) was bullying (C2) and wanted to fight (C2). Other confidential interviews stated not witnessing (C1) get jumped. Administrator stated Law Enforcement came out to the STRTP during an altercation between clients and did not observe bruising or marks on (C1). Administrator stated staff prevent fights between clients and one staff was injured by preventing a fight between two clients. County Social Worker stated (C1) did not disclose getting “jumped” at the group home but did indicate (C1) was jumped at school or after school. LPA received inconsistent information regarding these allegations.

Regarding the allegation that staff locked minor out of the STRTP, it was specified that (C1) was locked out of the STRTP because staff did not feel safe. Confidential interviews reported that (C1) was AWOL and staff took the rest of the clients to the movie theater when (C1) arrived. Other confidential interviews stated not witnessing (C1) being locked out of the STRTP. Administrator stated (C1) broke into the STRTP through a window because facility staff took clients to an outing during the time (C1) was AWOL. County social worker stated that (C1) mentioned during a Child and Family Team (CFT) meeting that she was locked out of the STRTP. County social worker added that according to what he understood staff indicated not feeling safe because (C1) wanted to fight another client in care and there was only one staff there. LPA was unable to interview C1 due to C1 currently AWOL. LPA received inconsistent information regarding this allegation.

Based on confidential interviews, the allegations that Client #1 (C1) sustained injuries while in care, staff do not prevent altercations between clients and staff locked client out of the STRTP may have occurred, however, it is not supported or proven by evidence. Therefore, these allegations are unsubstantiated at this time.

Exit interview was conducted and a copy of this report along with the appeal rights was provided to Administrator Sherrae Smith.


SUPERVISORS NAME: Abdoulaye Traore
LICENSING EVALUATOR NAME: Adaleyci Caballero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2