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COMPLAINT INVESTIGATION REPORT ecu: lull-ma- mm, comIET in. am: an

cum, ca um

 

This is an oIficial report oi an unannaunned visil/InvaingaIIcn ol 3 cumpleml received in our ofl'lca on
lulu/2015 and conducted by Evalualof Marks

 

   

PUBLIC COMPLAINT CONTROL NUMBER: 

FACILITY Academy FACILITY NUMBER: Unlicensed

ADMINISTRATO FACILITY TYPE: uNLlc
ADDRESS: -- TELEPHONE:

CITV: [mole STATE: ZIP CODE: 92544

CAPACITY: CENSUS: DATE: 06/30/2015

TIME VISIT BEGAN: 09:00 AM

MET WITH: Phil Ludwig TIME COMPLETE I19 3D AM

   

ALLEGATIDNIS):
I Faciluy Operating as an Unlicensed 6:00p Home

 

Community Care Inlhatad an Invasugallun ailer an incident nDcuflSd aI Ine Iacilicy a
resident yaum was assaulted by anmner alder yculh The Investigation IndIcaIas me faculty may be opemung
an unlicensed gmup home InaI lIme, management was cnnsunad' and a complaint was genemed:
ueeneing ngram Analysl Kirk Marks anempled la conducl an oneene InspeclIon however slalf de

 

him
access no me Iacilines. and youth An mmaI reporI was IefI Ind-caling the anemm me made by me LPA
within the mandated time.

lnIormaIian pmyided Inmugn Rivemew cnnelian Academy web we outlines wnaI behavmrs children may be

null Id child may he "dabbling in or alcuhul: thoughts of death and IanIasies of suicide",, and dues
(child) 'panicmale In high Ilsk 

which could be helped by anending RIveNIew cnnsIlan Academy. Such behaviors include but are
9

II
11
13

(continued on page 2)

lnconelua E-Ilmmd Days 
NAME: Dona Waners TELEPHONE: (530) 395-5991

LICENSING EVALUATON NAME: irk Mme TELEPHONE: (530) ass-50's
LICENSING EVALUATOR SIGNATURE:

Ilcknowledna ncelm dI ml: Ion and undumnd my appeal rights a. explained and received.
FACILITY REPRESENTATIVE SIGNATUR .

 

 

 

 

DATE: 06/30/2016

 

This mpm'l mun be "nil-bl: II Child Care Ami Gmup Home for publlc "vi-w Io: years.
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Comml Number 41-CR-20150302105222
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COM PLAINT INVESTIGATION REPORT (Cont) wan-I Mae nu counter um sun: m-

cured in um

 

FACILITY NAME: Rwervrew Academy FACILITY NUMEER: unlroensed
VISIT 05/30/2015

NARRATNE

 

(Page 2)


2
3 Addmonauy, It Is posted on ma sue the program rs desIgnm as a accredited. prIImIe ChrIslIan resIdemIaI
A school" . Ior teenagers in need MMI-fime supervIsIon and radrreenon". LFA confirmed the Iacrmy
5 am flame me amdavruo pruvrde educaIIonaI sew-ces Io rmuoled yourn as a prIvate hoardmg

6 school

7 Title 22 reguIaIrons for Exempuon rrom Lmensure Sacuorr 50007 sIaIes any school or durmllury

3 demonstrates mar all aI me oundinons are met the mom 3 Iunmon Is educazIonaI only, and me mom

9 prugram Is nor desIgnsled as provrding rehabilnauve or oeaImanI semces The program descrIpIIcn as

10 IndIcaIed on me RIveNIew cnrisnan Academy weo SIIB does nor cleerIy meet Ina InIenuon oI Ine regulanons
II On 6(26/2015' Rwemew Academy's Execmive DIrenor me! me Regwnal Manager to revIew

12 and discuss the program's Iruendad goals. We Iurrnal dIscussmn was an altempt resolve wnemer or noI
13 me rs lunctIonIng as a group name and would mereIore oe consroered Io oe om or campllance as

14 operauno an unIIoensed group home.

15 AI Iime' based on me Inlormahon pvaded and obmrned Issue was not IesoIved' therefore cannuI
I6 be delermmed rI me program Is or Is noI ooaraung as a group name, Therefore the findings are Inconcluswe

 

SUPERVISOR NAM TELEPHONE 1530) 895-5991
LICENSING NAME: Kirk Marks TELEPHONE: 1530) 895-5045

LICENSING EVALUATOR SIGNATURE:

 

DATE: 06/30/2016

 

I Icknuwledfie recelp: at we 6mm and nude and my IppeII rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2016

 

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