facility_name: DOWNS & MARTIN CHILDREN SERVICES

raw_content:
Narrative:
The facility staff indicated clients are supervised at all time. Staff will attempt to counsel and redirect clients when clients are talking about drug use. The facility staff indicated no clients have had sexual relations at the facility. The confidential interviews conducted did not collaborate the allegations. The placement agency social workers indicated having no concerns with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegations. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On July 21, 2021 at 12: PM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with Facility Administrator Emmett Downs. During the course of the investigation, LPA Cabral interviewed three facility staff, three clients and attempted to interview one client on 3/17/21(see Confidential Names Form LIC 811 dated July 21, 2021). LPA interviewed one county social worker and attempted to interview three county social workers on 7/13/21. LPA interview one county social worker on 7/20/21. LPA reviewed other agencies investigative narrative, delivered service logs and the facility's incident reports on 7/20/21. The facility staff denied the allegations that a client was sexually abused by another client and that facility staff did not adequately supervise clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 07/21/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Emmett Downs, Administrator


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Continue from page 1 . . . . The staff denied the allegations and stated that clients obtained alcohol and marijauna when they AWOL from the facility. The staff stated that the clients conduct a self search when coming back to the facility from AWOL. The staff indicated that the staff confiscates and disposes of contraband when found in the facility. The staff stated that the staff have not choked a client when conducting a restraint and that the alleged victim was not put on a restraint. The confidential interviews stated that the staff does not provide the clients with alcohol or drugs. The confidential interviews indicated that alcohol or drugs were obtained during the client's AWOL. The confidential interviews indicated that clients would sneak contraband by hiding it or sneaking in without the staff knowledge. The confidential interviews indicated that the alleged victim was not put on a restraint hold or the client was not choked by a staff. There was no corroborating information obtained through interviews and review of records to confirm the allegations. Based on the interviews and records reviewed the allegation are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. An exit interview was conducted, and a signed copy of this report was left with above staff.

Investigation Findings:
13On August 09, 2021 at 10: AM, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Victoria Valadez, Leadership team. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed three clients and one staff on 3/16/21, LPA interviewed three staff via telephone on 07/27/21, LPA interviewed one client via telephone on 08/02/21 and LPA interviewed County Social Worker (CSW) via telephone on 08/05/21 (see Confidential Names Form LIC 811 dated August 09, 2021). LPA obtained and reviewed client's incident report and other agency's investigative service logs. It was alleged that Staff restrained minor, Marijuana is accessible to minor and Minor has access to alcohol. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 08/09/2021

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

report_type: Complaint Investigation

met_with: Victoria Valadez, Leadership team

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 07/25/2021, the Department received a complaint alleging that a client is being hit by another resident in care while under the care and supervision of staff workers. The focused client (FC) who was identified in the referral provided inconsistent information. The focused client (FC) denied the allegation and stated that the conversation he had with an individual identified as other was not accurate information and stated "it's not really like that". The focused client admitted that he reported that he was being hit by another peer and that the staff present was not responding accordingly, however, the FC said it was not true. The FC stated that staff working is always present and is quick to intervene when clients are out of line. The FC identified another client that was bothering him by being hit and stated that it was not true. The focused client (FC) admitted that he likes to horseplay with others and stated that everything is fine and that he feels safe living at the facility. Staff workers who were interviewed denied the allegation that they are allowing a client to bother or harass another resident (peers). Staff workers were in agreement that the focused client (FC) is the one who is actually horse-playing around with other clients. Five of the six clients provided consistent information in confidential interviews and denied the allegation. One client who was identified as hitting the focused client categorically denied the allegation and stated "it's the other way around". All clients reported that staff at the facility are always present and had no concerns or complaints overall about the operations at the facility. The individual identified as other who reportedly had direct information about the allegation could not be contacted after several attempts to speak with other by telephone went unanswered. Statements obtained could not corroborate the allegation reported for neglect/lack of supervision by staff working at the facility. Therefore, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and a copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time.

Investigation Findings:
13On 07/25/2022 at 08: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Facility Manager Ms. Valadez. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four staff workers, six clients on 03/17/2022, that includes one individual identified as other on 7/21/2022 (reference confidential names list LIC811 dated 07/25/2022). During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joseph Vargas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 07/25/2022

met_with: Ms. Victoria Valadez, Facility Manager


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a youth in placement was sexually assaulted when he was thirteen years old. However, it was unknown if the assault occurred at, or away from the facility. Based on statements obtained from confidential interviews conducted by the Department, LEA and placing agency, the alleged incident occurred in 2021 when Ref. #1 (See Confidential Names list LIC811 dated 10/16/23) accompanied his brother to visit a friend's home. During the visit Ref. #1 met a female who he reportedly had an intimate relationship with and who inappropriately touched him twice. Ref. #1 was unable to identify the female and unwilling to provide further information regarding the inappropriate contact. Based on information gathered from interviews conducted and records review, the allegations is Unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. A copy of this report and Confidential Names list LIC811 dated 10/16/23 were given to the above-mentioned facility representative. No deficiencies were cited. Exit interview conducted.

Investigation Findings:
An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/16/23 at 10: AM. During the inspection LPA Larios met with Facility Manager Victoria Valadez and delivered findings regarding the above mentioned complaint allegation. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Olivia Spindola and LPA Larios. During the course of the investigation LPA Larios conducted a record review on 8/2/23 and obtained copies of special incidents report, needs and services plans, child family team meeting notes and staff and client rosters. On 8/17/23, SI Spindola conducted interviews with two clients and one staff member. Between 10/9/23 and 10/11/23, LPA Larios conducted interviews with four social workers and two clients. On 10/13/23, LPA Larios obtained a copy of a Law Enforcement Agency (LEA) report regarding the allegation. On 10/15/23, LPA Larios reviewed interviews conducted by the placing agency's investigator. (Continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 10/16/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Victoria Valadez


raw_content:
Narrative:
On April 23, 2024, the Department received a complaint alleging that STRTP staff did not ensure that minor had appropriate fitting shoes resulting in injury. It was also alleged that the STRTP staff did not report missing client. Based on review of the client's clothing inventory and statements obtained during interviews, client had several pair of well fitting shoes as well as the boots he was wearing the day of 04/22/24, which belonged to him and fit him well when purchased. Client enjoyed wearing his boots and never informed facility that they did not fit him. Client chose to wear that pair of boots when he left the home without authorization. Same interviews revealed that as client had been consistently leaving the facility in unauthorized fashion upon return, the local Police Department had been leaving an earlier law enforcement report as an open report, therefore, filing another missing person's report is unnecessary at times. Confidential statements obtained during the investigation were unable to corroborate the allegations, revealing inconsistencies. Social worker interviewed by LPA had no concerns regarding the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Vickie Valadez, Office Manager. Appeal rights provided.

Investigation Findings:
13On Monday, July 22, 2024 at 10:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up complaint inspection at Downs & Martin Children Services, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings concerning the above allegations. LPA met with Vickie Valadez, Facility Manager. During the course of this inspection LPA reviewed, the STRTP's complaint history and interviewed by phone 2 adults on April 29, 2024. On May 1, 2024, LPA interviewed 5 clients at the STRTP and interviewed 4 adults at a collateral location. On May 9, 2024, LPA interviewed focused client (C1) (See LIC Confidential Names list dated 05/10/24) at a collateral location. On July 18, 2024, LPA interviewed two facility staff via telephone. On July 18, 2024, LPA reviewed documents provided by the STRTP including but not limited to register of clients, LIC Facility Personnel list, C1's clothing receipts, allowance logs, clothing logs, C1's Needs and Services Plan (NSP), and C1's Child and Family Team (CFT) meeeting notes. LPA also reviewed Department databases and reports from other agencies. (Continued...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 07/22/2024

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Vickie Valadez, Facility Manager


raw_content:
Narrative:
On July 23, 2025, the Department received a complaint report alleging that a staff member put hands on a client, who retaliated, resulting in the staff restraining the minor on the ground. It was alleged that staff do not allow the minor to go outside. It was alleged that staff locks the minor in their room. Lastly, it was alleged that staff do not treat minor with respect, treating the minor like an adult, provoking the minor to act out. Staff denied the allegations that a staff member restrained the minor, stating the minor attacked the staff member and pushed them to the ground. Staff denied locking the minor in their room, stating that facility bedrooms do not have locks on the doors, and that the only phone the facility had taken from the minor was not the client's phone, it belonged to the owner of the stolen vehicle and so it was given to law enforcement. Staff denied that the client was not allowed to go outdoors, stating that the client frequently AWOL'd, and that they know they cannot physically stop a minor from leaving. Staff denied not providing the minor with respect. Social workers interviewed had no concerns. Confidential interviews conducted by LPA revealed contradicting statements regarding the allegations. 5 clients were interviewed during the investigation, 1 of the 5 clients exercised their right to decline the interview. 2 of the remaining 4 clients denied all allegations. 3 of 4 clients denied any restraints took place. 1 of 4 clients stated witnessing a proper restraint. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Vickie Valadez, Administrator. Appeal rights provided.

Investigation Findings:
13On Wednesday October 22, 2025 at 11:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up complaint inspection at Downs & Martin Children Services, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings concerning the above allegations. LPA met with Vickie Valadez, Facility Manager. During the course of this inspection LPA reviewed the STRTP's complaint history and interviewed by phone 2 adults on July 28, 2025. On July 29, 2025, LPA interviewed 2 professional contacts. On July 30, 2025, LPA interviewed 5 clients and 4 staff. On October 20, 2025, LPA interviewed 1 staff. On October 22, 2025, LPA interviewed 1 staff. LPA reviewed documents provided by the STRTP including but not limited to LIC9020 register of clients, LIC Facility Personnel list, Needs and Services Plan (NSP) for client 1 (C1)(See LIC Confidential Names list dated 07/30/25), restraint training certificate for a staff (S2), relevant Special Incident Reports (SIRs) and photos of S2. LPA also reviewed Department databases and reports from other agencies. (Continued...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 10/22/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Vickie Valadez, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 4, 2024, at 9: AM, Licensing Program Analysts (LPAs) Timika Martin and Angelina Garibaldo conducted an unannounced annual/required inspection to the facility. LPA's met with Emmett Downs Administrator and Victoria Valadez Facility manager, who gave the tour of the facility. There are six (6) clients placed in the facility currently. Physical Plant The facility is a one-story building. The facility consists of a living and dining area, a kitchen, three bedrooms, two bathrooms, and two staff offices. One bathroom is located inside the staff's office and designated for staff. The bedrooms are set up so there are two residents in a bedroom and one resident per bed. There is adequate drawer space for residents' belongings. The resident's bathroom was observed to be clean. LPA's checked water temperature in the resident's bathroom and thermometer read 105 degrees Fahrenheit. The following was observed at the time of the inspection. The posted license, Emergency Disaster Plan, Foster Care Ombudsman's information and Youth's Personal Rights, Complaint and Grievance Procedure, and Mental Health Program Approval. The fire alarm was tested and working. Cleaning solutions and hazardous items observed to be stored in a locked cabinet in the hallway. Sharp knives were observed to be inaccessible and stored in a locked box in one of the staff's offices. Medications are stored in a locked cabinet inside of one of the staff's offices. The facility's smoke and carbon monoxide detectors were checked and were operable. There are no guns or weapons in the facility as stated by the Administrator. Children's Personal Rights form is also posted, accessible to residents. LPAs observed a minimum 7-day non-perishable and a 2-day perishable supply of food and snacks available to the residents. The exterior of the facility was also inspected and observed to be clean, and the landscape well maintained. Emergency exits were free from obstruction. There is no swimming pool or other body of water located on the facility grounds. LPA obtained and reviewed the following updated documentation: ·LIC Personnel and client roster Biannual Reports for the use of Emergency Interventions MHPA Certificate- renewal visit was conducted on 12/21-12/22/23. Anticipated to receive approval by: 01/12/24 and will email LPA copy of certificate. CARF Accreditation LIC 610C and mass casualty and disaster plan Annual compliance Review consisted of the following (7) domains: physical plant, operations, disaster preparedness plan, emergency intervention, staffing, core-therapeutic services, and client files. Staff and Clients were interviewed. A signed copy of this report, LIC Confidential Names list dated 01/04/24, and Technical advisory and 1 civil penalty was provided to the Administrator for review. No further inspection required.

report_type: Facility Evaluation

visit_type: Annual

met_with: Victoria Valadez- Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles, and Pamela Silva on 11/05/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Emmett Downs, Administrator and Victoria Valadez, Facility Manager and toured the facility inside and out. LPAs reviewed two (2) of child's record and three (3) of staff personnel files on site at the facility. LPAs reviewed two (2) of child's psychotropic medications and medication records. LPAs interviewed two (2) staffs on site to discuss the facility's policies and procedures of operation. LPAs were unable to interview (0) child currently prescribed psychotropic medication due to the child being unavailable. LPAs will attempt to conduct an interview at a later time. No deficiencies are being cited at this time. LPAs conducted exit interview and provided a copy of this report to the Administrator.

visit_type: Case Management

met_with: Emmett Downs


summary: Facility Evaluation

raw_content:
Narrative:
On July 16, 2025, Licensing Program Analyst (LPAs) Emad Elias met with Vickie Valadez, Administrator. The purpose of the inspection was to follow up on a serious incident report that the Department received on 6/7/2025. Census six (6) During the inspection LPAs obtained a copy of the most recent two Child Family Team notes, Needs and Service Plan, school information, LIC 500 and LIC 9020. A copy of LIC 809, LIC 811, and appeals rights was provided to the facility representative. Further investigation is required.

met_with: Vickie Valadez-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin, Pamela Silva, and Ashley Ruacho on 10/17/25 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Vickie Valadez, Administrator , and inspected the facility inside and out. LPAs reviewed 2 of child's records and 3 of staff personnel files on site at the facility. LPAs reviewed 2 of child's psychotropic medications and medication records. Children currently prescribed psychotropic medication were unavailable for interview at the time of inspection. LPA Martin will attempt to interview children at a later time. LPA interviewed 1 of staff on site to discuss the facility's policies and procedures of operation. During the inspection one (1) Technical Advisory and two (2) Technical Violations were issued (see LIC 9102). LPAs provided a copy of this licensing report and LIC 9102's to Vickie Valadez, Administrator.

met_with: Vickie Valadez, Adminiistrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 22, 2025, at 11:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced Case Management - Deficiencies inspection at Downs & Martin Childrens Services, a Short-Term Residential Therapeutic Program (STRTP). The purpose of the inspection was to discuss a deficiency revealed during record review. LPA met with Vickie Valadez, Administrator. Relevant Facts and Findings During the scope of an investigation, LPA obtained a Special Incident Report dated 07/19/25 10:08 p.m. detailing an incident between a client (C1) (See LIC Confidential Names list dated 10/22/25) and a staff member (S1) that escalated, stating that C1 became aggressive with S1, resulting in S1 and an additional staff member (S2) placing C1 in a 2 person standing restraint in accordance with TCI protocol. LPA's interviews conducted revealed denial of a restraint happening by staff members, including the staff member identified as the one who completed the report. Confidential interviews returned conflicting statements regarding whether a restraint occurred, with denials that a restraint took place, and another statement saying a one person restraint was witnessed. The STRTP is being issued a Technical Violation under California Code of Regulations Title 22, Division 6, Chapter 1, Article 02. License, False Claims (a) No licensee, officer, or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. Please see LIC9102-TV Technical Advisory page. Exit interview conducted. A signed copy of all licensing reports were provided to Vickie Valadez, Administrator. This is an amended report of a licensing report originally delivered on 10/22/25


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2025 at 11:10AM, Licensing Program Analyst (LPA) Amber Hunter conducted an unannounced Case Management Inspection at the above-named Short Term Residential Therapeutic Program (STRTP). LPA Hunter met with Victoria Valadez, Facility . The purpose of this inspection was to follow up on a Special Incident Report (SIR) received by the Department on 10/29/25 involving FC1. LPA introduced herself and provided a business card. The SIR stated that on 10/28/25, FC1 alleged during a Child and Family Team Meeting that he was sexually abused by an unknown woman. FC1 stated that he has been visiting this woman's home and that she has been providing him with illegal substances, food, and cash. FC1 claimed that the woman is soliciting him for sex. On 12/2/25, LPA Hunter obtained and reviewed relevant records from the STRTP, interviewed County Social Worker (CSW) on 12/1/25, interviewed facility staff on 12/2/25, and obtained a police report on 12/2/25 from the Ontario police department. Based on the information obtained through interviews, FC1 refuses to follow rules, is constantly leaving the facility without permission, and uses illegal substances. Facility staff, neighbors' husband and police have advised FC1 on numerous accounts to refrain from going to the unknown woman's residence. Staff re-direct and follow FC1 whenever FC1 leaves the facility. Staff interviews did not confirm if FC1 had sexual relations with the unknown woman. It was only confirmed FC1 only stated that the woman offered sex. FC1 declined an interview with LPA Hunter. On 12/10/ LPA Hunter provided the facility with guidance on how to obtain a referral for Child Specific Technical Assistance. Staff have conducted Child and Family Team Meetings (CFTM) to help FC1 make better choices. An SIR received by the department on 12/15/25 indicates that an emergency CFTM is being scheduled this week to discuss the possibility of FC1 jeopardizing his placement and requesting a 14-day notice. No further follow-up is needed. A signed copy of this report was provided to the STRTP representative along with an LIC 811 (confidential names list)


summary: Facility Evaluation

raw_content:
Narrative:
On December 23, 2025, at 11:15 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced inspection at Downs & Martin Children Services, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering an amended report of a case management inspection delivered on October 22, 2025. LPA met with Vickie Valadez, Administrator. Exit interview conducted. A signed copy of this report and and amended LIC809 were provided to Vickie Valadez, Administrator. Appeal rights provided and explained.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/2/2025 at 10:06AM, Licensing Program Analyst (LPA) Amber Hunter conducted an unannounced case management inspection at the above-named Short Term Residential Therapeutic Program (STRTP) . LPA Hunter met with Victoria Valadez, Facility Administrator. The purpose of this inspection was to follow up on an unusual incident dated 10/28/25 involving foster child (FC). On 10/29/25, the Department received an incident report, which states that on October 28, 2025, FC alleged during a Child and Family Team Meeting that he was sexually abused by an unknown woman. FC states that he has been visiting this woman's home and that she has been providing him with illegal substances and cash, and FC claims that the woman is soliciting him for sex. During today's inspection, A walk through of the facility was conducted. Facility has three bedrooms each with two twin beds, a dresser, closet, a facility sketch showing an evacuation plan, and working fire alarm. There are two hallway cabinets, one is located by room three and contains chemicals/cleaners and spare linens. Cabinet two is located by room two and contains towels, linens, and board games. Room three has a screen that is bent inward at the top and falls outside on the upper right hand corner. Kitchen freezer had enough frozen food for a week supply and cabinets located in the garage contained non-perishable food. Garage has two more fridges that are used for storing food. Water temperature at the kitchen sink read 138.3F. Fire alarms are located in living room, hallway, kitchen, and bedrooms; all are in working order. First aid kit is located in the office and contains appropriate supplies. Sharps are located in the office in a locked container. Continued on 809C LPA reviewed FC records and interviewed three staff members. Copies of pertinent documents were obtained. A type B deficiency is being cited today for the broken screen. Further follow up is required. A signed copy of this report was provided to the STRTP representative along with LIC 811 (confidential names' list).


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles, and Timika Martin on 11/20/23 at 8: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Emmett Downs, Administrator, and Victoria Valadez, Facility Manager inspected the facility inside and out. LPAs reviewed three (3) of children's records and three (3) of staff personnel files on site at the facility. LPAs reviewed three (3) of children's psychotropic medications and medication records. LPAs interviewed two (2) of staff on site to discuss the facility's policies and procedures of operation. LPAs interviewed three (3) children currently prescribed psychotropic medications. During the inspection the LPAs observed deficiencies (see attached 809D), plan of corrections was discussed, and appeal rights were provided. LPAs provided a copy of this licensing report to Emmett Downs, Administrator. LPAs conducted an exit interview with Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On December 8, 2023, at 9: AM, Licensing Program Analyst (LPA) Angelina Garibaldo conducted an unannounced case management inspection at the facility. LPA met with the Emmett Downs Administrator. The purpose of the inspection is to issue a deficiency citation and civil penalty assessment after a staff was allowed to work in the facility (see Ref#1 on the LIC Confidential Names Form dated 12/8/23), who does not have a criminal record clearance. - Records obtained and reviewed by the undersigned LPA show that staff did not have a criminal record clearance and was allowed to work at the facility on 11/01/23, 11/03/23,11/04/23,11/16/23, 11/23/23 and on 11/24/23. Based on the above information, a deficiency citation is issued under 80019(e) Criminal Record Clearance. This violation pose an immediate health, safety, and personal rights risk to clients in care. A violation of Section 80019(e) will result in an immediate assessment of civil penalty of one hundred dollars ($100) per violation for a maximum of 5 days by the Department therefore, a civil penalty assessment of $500.00 is issued. An exit interview was conducted, and the following reports were provided: LIC809, LIC 809-D, LIC421BG and LIC Confidential Names Form. Appeal rights forms were provided and explained.

met_with: Emmett Downs Admin, Rita Hill HR Mannager,Devoin Downs- Assistant Manager


summary: Facility Evaluation

raw_content:
Narrative:
On May 20, 2024, at 11: AM, Licensing Program Analysts (LPA) Angelina Garibaldo made an unannounced visit to Downs and Martin. The purpose of the inspection was to follow up on information the Department received regarding an unusual incident 03/09/24 involving C1. During this inspection, LPA met with Emmett Downs Administrator and Victoria Valadez- Facility Manager. Summary of Incident: On 03/09/ While on a group outing C1 was physically assaulted by an unknown male. Staff was present and broke up fight. Law enforcement was call and all involved were interview. C1 sustained facial bruising and was taken to hospital. LPA requested to review Special Incident Reports (SIR's). While reviewing documents, LPA observed that facility had completed an SIR but had not been submitted to the department. Based on a review of records it was indicated that the facility did not meet the reporting requirements for an incident that occurred on 03/09/24. The incident required notification to the Department by telephone, email, or fax within 24 hours or by the next business day following the event, followed by a written incident report within 7 days of the incident. SIR for incident on 03/09/24 was never submitted to CCL. The reporting requirement was not met. Based upon the above information, it is determined that the facility is in violation of General Licensing Regulations: 1. Section 80061(b)(1)(E). Reporting Requirements. Any unusual incident or client absence which threatens the physical or emotional health or safety of any client. An exit interview was conducted where the citations and plan of corrections were discussed. Appeals rights were provided and discussed with the representative facility representative mentioned above.

met_with: Emmett Downs- Aministrator and Victoria Valadez- Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2026, at 9: AM Licensing Program Analyst (LPA) Larry Cabral conducted a follow up case management inspection and met with the facility administrator . The purpose of the visit was to amend a licensing report for a complaint. The licensing report was amended and signed by the facility representative mentioned above. An exit interview was held and copies the LIC 809, LIC 9099, LIC 9099-C, were provided to the facility representative mentioned above. There were no deficiencies cited.


raw_content:
Narrative:
On September 18, 2025, the Department received a complaint alleging that staff (S1) engaged in a physical altercation with a client following an incident involving the client's backpack. It was reported that the interaction escalated, resulting in physical contact between S1 and the client. It was reported that the client was observed to have a blue-green bruise, larger than a quarter, on the upper arm. It was alleged that S1 grabbed the client's arm during the incident. Investigation revealed that on 9/16/25, an incident occurred involving C1 and staff during morning preparations for school. Review of the Special Incident Report (SIR) documented that C1 was observed with a backpack containing a large quantity of snack items, which staff questioned due to concerns about possible stolen property. During this interaction, C1 became agitated and engaged in aggressive behavior toward S1, including swinging at S1. S1 subsequently secured the backpack in the office, after which the situation continued to escalate and C1 kicked the wall creating a hole. C1 then declined to attend school. Record review included photographs depicting a bruise on C1's arm and a scratch on the lower arm; however, no dates were associated with these pictures, and therefore the timing of the injuries could not be confirmed. Additionally, the facility administrator reported that no bruising or scratches were observed on C1 at the time of observation following the incident. During interview, S1 denied punching, hitting, or using physical force against C1 at any point and stated efforts were made to verbally de escalate the situation. Based on the interviews and records reviewed the allegation determined to be found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation. A copy of the report was provided to the facility representative mentioned above along with LIC 9099-C, LIC 811 and Appeal Rights. There were no deficiencies cited.

Investigation Findings:
13On December 22, 2025, at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the Facility Vickie Valadez. During the investigation, LPA Cabral interviewed three facility staff (AD, S1, MHC). LPA interviewed four clients (C1, C2, C3, C4) on 9/30/25 (see Confidential Names Form LIC 811 dated December 22, 2025). LPA reviewed incident reports, safety plan, and needs and service plan (NSP). LPA interviewed one county social worker (CSW) on 9/30/25. LPA attempted to interview two county social workers (CSW2, CSW3) and interviewed one county social worker (CSW4) on 10/1/25. LPA reviewed the other agency's response notices and investigative report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 12/22/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
The staff denied the allegation and stated that the minors are supervised by the staff constantly, the staff stated that staff do checks on the minors by one staff being on the hallway and the other in another area of the home while on shift. The staff stated that while in the office they heard one client yelling in the room and went to the room, the staff indicated that one minor was upset with another minor because a sweater was on the other minor's backpack and punched the wall but never hit or made contact with the other minor. The staff stated that the minors were separated and was never a physical altercation between the minors. The confidential interviews revealed that the minors were in their room and one of the minors discovered one of his sweaters in the other minors backpack. The information indicated that the two minors engaged in an argument and staff intervened to stop the argument. The confidential interviews revealed that a minor punched the wall when the minor became angry but was send away to a different area but the minor returned to the room when one staff was leaving due to the staff shift switch, confronted the other minor about personal belonging being taken and punched the minor. The statements from the minors revealed that the staff intervened to separate the minor and that altercation between the minors lasted a few minutes only. Other information obtained indicated that a third minor hear a noise on the wall and yelling from one of the minor. The third minor indicated that a staff was heard telling a minor to calm down and it lasted a few seconds but went back to sleep. Based on the interviews and records reviewed, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation (Neglect/Lack of Supervision) occurred, therefore, the above allegation is Unsubstantiated. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On March 27, 2026, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Vickie Valadez, Administrator. The purpose of the inspection was to deliver the finding for the above complaint allegation. During the course of the investigation, LPA interviewed three clients and one staff on 11/19/25 and LPA conducted telephone interviews with two staff on 03/05/26 (see Confidential Names Form LIC 811 dated March 27, 2026). LPA also reviewed documents including but not limited to Clients rooster, staff rooster (LIC 500), Special Incident Report, Client's Safety Plan and other documents. It was alleged Due to lack of supervision, minor was physically assaulted by another minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 03/27/2026


narrative: On September 18, 2025, the Department received a complaint alleging that staff (S1) engaged in a physical altercation with a client following an incident involving the client's backpack. It was reported that the interaction escalated, resulting in physical contact between S1 and the client. It was reported that the client was observed to have a blue-green bruise, larger than a quarter, on the upper arm. It was alleged that S1 grabbed the client's arm during the incident. Investigation revealed that on 9/16/25, an incident occurred involving C1 and staff during morning preparations for school. Review of the Special Incident Report (SIR) documented that C1 was observed with a backpack containing a large quantity of snack items, which staff questioned due to concerns about possible stolen property. During this interaction, C1 became agitated and engaged in aggressive behavior toward S1, including swinging at S1. S1 subsequently secured the backpack in the office, after which the situation continued to escalate and C1 kicked the wall creating a hole. C1 then declined to attend school. Record review included photographs depicting a bruise on C1's arm and a scratch on the lower arm; however, no dates were associated with these pictures, and therefore the timing of the injuries could not be confirmed. Additionally, the facility administrator reported that no bruising or scratches were observed on C1 at the time of observation following the incident. During interview, S1 denied punching, hitting, or using physical force against C1 at any point and stated efforts were made to verbally de escalate the situation. Based on the interviews and records reviewed the allegation determined to be found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation. A copy of the report was provided to the facility representative mentioned above along with LIC 9099-C, LIC 811 and Appeal Rights. There were no deficiencies cited.

investigation_findings: 13On December 22, 2025, at 10: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the Facility Vickie Valadez. During the investigation, LPA Cabral interviewed three facility staff (AD, S1, MHC). LPA interviewed four clients (C1, C2, C3, C4) on 9/30/25 (see Confidential Names Form LIC 811 dated December 22, 2025). LPA reviewed incident reports, safety plan, and needs and service plan (NSP). LPA interviewed one county social worker (CSW) on 9/30/25. LPA attempted to interview two county social workers (CSW2, CSW3) and interviewed one county social worker (CSW4) on 10/1/25. LPA reviewed the other agency's response notices and investigative report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 12/22/2025

allegations: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


summary: Facility Evaluation

raw_content:
Narrative:
On April 15, 2026, at 10:16 a.m., Licensing Program Analyst (LPA), Christopher J. Williams made an unannounced visit to the above facility for the purpose of a case management inspection. LPA met with Victoria Valadez, STRTP's Facility Administrator. The purpose of the inspection is to follow up on a Special Incident Report (SIR) received by the Department on 9/18/2025, (see LIC811, Confidential Names List dated 4/15/2026). The SIR indicated on September 16, 2025, S1 reported that youth - C1, exhibited both physical and verbal aggression towards staff after dropping stolen candy from his backpack. The day before, on September 15, 2025, it was reported that C1 had been caught with stolen merchandise from a store. When S1 confiscated the candy items from the youth, C1 then pursued the staff around the home. S1 reported that he was struck by C1 in the head, knocking off his hat. C1 made threats to harm the S1 and his family, as he continued to display both verbal and physical aggression. C1 followed S1 into the staff office, where he punched and kicked a hole in the staff bathroom wall. This incident was referred to the Department as a complaint to be investigated. An investigation was completed on the reported SIR and allegation(s) were determined to be unsubstantiated. However, an LPA requested that staff involved with the incident complete training courses on "Trauma-Informed Interventions and Treatment Practices". Based on information obtained during this case management follow-up investigation, the FA confirmed that staff (S1 and S2) had completed the necessary training and submitted proof of completion to LPA via email on 4/06/2026. A signed copy of this LIC809 and LIC811 report was discussed and provided to the facility representative. No deficiencies were issued at the time of inspection. No further follow-up is needed.

met_with: Vickie Valadez, Facility Administrator


facility_name: DREAM HOME CARE INC. V

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On May 18, 2021, at 1PM Bernice Karnsrithong, Licensing Program Analyst (LPA) arrived at the facility to deliver findings for the above complaint allegations. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Lisa Seibel, Administrator. During the investigation of the allegations, staff member verbally abused minor in care and staff member had a physical altercation with minor in care, LPA conducted confidential interviews and reviewed documentary evidences. Statements were consistent and documentary evidences indicated that staff did not comply with the facility's crisis intervention and client's safety plan and engaged in a verbal and physical altercation with a minor while in care. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80072(a)(3) Personal Rights. Staff engaged in a verbal and physical altercation with a minor while in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: 198207746

met_with: Lisa Seibel, Administrator

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On May 18, 2021, at 1PM Bernice Karnsrithong, Licensing Program Analyst (LPA) arrived at the facility to deliver findings for the above complaint allegations. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Lisa Seibel, Administrator. During the complaint investigation that the facility does not provide a safe and comfortable environment for minor in care, LPA conducted confidential interviews and reviewed documentary evidences. Statements were inconsistent and did not produce corroborating evidence that indicated that the facility does not provide a safe and comfortable environment for minor in care. Due to lack of evidence obtained during the investigation, LPA determines that the allegation are unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Exit interview was conducted with administrator and copy of this report will be provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Lisa Seibeil, Administrator


raw_content:
Investigation Findings:
13On 06/23/2022 at 3pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of delivering findings for the above complaint. Health and safety risk assessment was conducted upon arriving at the facility. LPA Karnsrithong met with Lisa Seibel, Administrator who granted access at the facility. During the investigation of allegations, staff are not able to meet minor's needs, staff speaks inappropriately to minors in care and facility vehicles are not maintained; LPA Karnsrithong conducted confidential interviews, reviewed documentary evidences, and conducted on-site inspections. LPA reviewed the following: Needs and Service Plan, Medical Examination Form, Behavioral Plan and Repair/Maintenance Receipts. During the investigation, statements were inconsistent and did not produce corroborating evidence to support that staff are not able to meet minor's needs, staff speaks inappropriately to minors in care and facility vehicles are not maintained. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are unsubstantiated at this time meaning, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Exit interview conducted with Lisa Seibel and report will be provided. There were no deficiencies cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
It was reported to LPA if medication is refused incident reports are submitted and documentation is noted in facility records. It was reported to LPA that haircuts are done every two weeks. LPA observed haircut schedule and receipts for hair cuts. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the allegations listed above. LPA was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that violations occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Exit interview was conducted and document will provided to DeAndra Wilson/Facility Manager

Investigation Findings:
13On October 11, 2023 at 8: AM, Licensing Program Analyst (LPA), Zena Phillips made an unannounced visit to Dream Home Care Inc. V for the purpose of delivering findings on complaint allegations listed above. During the investigation LPA Phillips interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the documentary evidence, interviews, and statements obtained during the investigation process, the allegations are unsubstantiated. Staff denied the allegations listed above and reported that staff would not threathen minors in care and did not bring firearm to facility. It was reported to LPA that there is plenty of food, three meals served per day and snacks available. Confidential interview reveal residents feel safe and treated with respect. Staff deny there is a lack of supervision for residents and regular checks on residents are conducted. Documentary evidence show residents are administered medication as required. Continued on LIC 9099-C. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: VISIT DATE: 10/11/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Deandra Wilson/Facility Manager


raw_content:
Investigation Findings:
13On November 15, 2023 at 1: PM, Licensing Program Analyst (LPA) C. White arrived at Dream Home Care V. for the purpose of delivering findings for the allegations listed above. LPA met with Direct Care Staff, Tiara Bryant. During the course of this investigation, LPA conducted confidential interviews, gathered pertinent information, and performed a walk through of the facility. Staff denied the allegation and stated they conduct regular facility maintenance checks to ensure the facility is clean, safe, and secure. Client statements did not provide information to support the allegation. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. There were no deficiencies cited. An exit interview was completed, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Tiara Bryant - Direct Care Staff


raw_content:
Investigation Findings:
13On July 2, 2024, Licensing Program Analyst (LPA) C. White arrived at Dream Home Care V. for the purpose of delivering findings for the allegation listed above. LPA met with Administrator, Kevin Bennett. During the course of this investigation, LPA conducted confidential interviews and gathered pertinent information. Staff denied the allegation and stated clients in care have been provided therapeutic services. Client statements did not provide information to support the allegation. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. There were no deficiencies cited. An exit interview was completed, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Kevin Bennett - Administrator


raw_content:
Investigation Findings:
13On 1/31/25 at 11: AM, Licensing Program Analyst (LPA) Reagan Cohen and Liscensing Program Manager (LPM) Lakescia Smith arrived at Dream Home Care V and met with Admin Kevin Bennett for the purpose of delivering complaint findings regarding the above allegation. LPA interviewed involved staff and clients. Multiple staff interviews stated that the Head of Service does not retaliate against staff. However, other interviews confirmed the Head of service retaliated against staff. LPA received multiple conflicting reports from staff when asked about the allegations. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Head of Service retaliates against staff" has been found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Kevin Bennett


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the available information LPA gathered from interviews and observation of the facility complaint procedures, the preponderance of the evidence standard has been met, therefore the allegation of "Staff are not implementing proper written complaint procedures for minors in care" is found to be substantiated. The Facility is being cited for violating the Interim Licensing Standards Article Section 87072.2 (a) Complaint Procedures. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights.

Investigation Findings:
13On 1/31/25 at 11: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at Dream Home Care V and met with Admin Kevin Benett for the purpose of delivering complaint findings regarding the above allegations. LPA interviewed involved staff and clients. Interview evidence and record review revealed that the facility is not implementing proper written complaint procedures for minors in care. Interviews reveal that clients don't know or remember the complaint procedures and don't feel they will remain anonymous. Additionally, interviews reveal that complaints are discussed publicly which also contributes to the lack of anonymity for the complainant. The actions to address and correct received complaints should allow the complainant to remain anonymous during the process. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: VISIT DATE: 01/31/2025

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


raw_content:
Investigation Findings:
13On 1/31/25 at 11: AM , Licensing Program Analyst (LPA) Reagan Cohen arrived at Dream Home Care V and met with Administrator Kevin Bennett for the purpose of delivering complaint findings regarding the above allegations. LPA interviewed involved staff and clients. During the investigation, multiple staff interviews claimed that the staff are trained and instructed to conduct proper reporting procedures. Other interviews claimed that the staff are discouraged from implementing proper reporting procedures. LPA received multiple conflicting reports from staff when asked about the allegations. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Staff are not following proper reporting requirements" has been found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


raw_content:
Narrative:
LPA interviewed involved staff, clients, and witnesses. Multiple staff interviews admitted that that the family visits for the client were not happening, but it was due to either the client or the family member declining the visits. Staff testimony stated that family visits were always offered, but they did need to adhere to court mandated monitored visits, and the client or the family member had some refusals in the beginning. The client interview shared that they did not know why visits did not happen in the beginning but admitted that they are taking place now. LPA preformed a records review shows notes from the Intensive Care Coordinator (ICC) who recorded all the offered/set up visits that were declined by the client or the family. Due to conflicting testimonial evidence and the visitation notes, the preponderance of the evidence standard has not been met, therefore, the allegation of the "Staff have not properly facilitated family visits" has been found to be unsubstantiated. LPA interviewed involved staff, clients, and witnesses. A client interview shared that a staff member would at times "get frustrated and leave shift early" causing supervision and staff-to-client ratio issues. Multiple staff interviews stated that staff never left their shift early and never caused care and supervision issues. LPA received conflicting testimony regarding the allegation, though most interviews stated that staff did not leave work early and always ensured adequate supervision for minors in care. Due to conflicting testimonial evidence and based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Staff did not ensure adequate supervision was provided to minors in care" is found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights.

Investigation Findings:
13On 5/2/25 at 11: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at DReam Home Care V facility and met with Administrator Kevin Bennett for the purpose of delivering complaint findings regarding the above allegations. LPA interviewed involved staff, clients, and witnesses. Multiple staff interviews reported that there was an event where a client yelled at a staff member, but the staff member remained calm and did not escalate the incident. A client interview stated that the staff did engage in yelling and cursing. LPA received conflicting testimonial information regarding the event, but more interviews stated that the staff did not engage in cursing or yelling at a client. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Staff spoke inappropriately to minors in care" is found to be unsubstantiated. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: VISIT DATE: 05/02/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Kevin Bennett Administrator


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the above allegation. LPA interviewed all three staff that were present during the incident and C1. C2 could not be reached and C3 was not present during the incident. LPA Jones-Steward also viewed SIRs related to this incident. During the interviews and SIR review process, LPA Jones-Steward received conflicting accounts about who was the aggressor and who attacked whom during the incident. Although C1 and one staff reported C1 as the victim, other staff and reports indicated that C1 was the aggressor. Based on conflicting information, this allegation is resolved as unsubstantiated. An unsubstantiated finding means that although an allegation may have happened or is valid, there is not a preponderance of evidence to prove that it did happen. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of 2

met_with: Kevin Bennett, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/05/2021 at 8:00am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the said facility to conduct an annual inspection. LPA met with Lisa Seibel, administrator who provided the tour of the facility. This facility is licensed to provide care and supervision up to six (6) children ages 11-17 years ambulatory only and non-minor dependents. There are currently three (3) clients in the facility at the time of inspection. There are no bodies of water on the premises. LPA Karnsrithong has conducted three (3) client interviews and two (2) staff interviews during the time of inspection. There are two (2) fire alarms and (1) carbon monoxide alarm in the facility. There is a centralized alarm system located in the office. There is a locked thermostat located in the hallway next to the staff bathroom. There are two (2) first aid kits located one in the kitchen and one in the office area. Living Room: It is located next to the kitchen area. There are sectional couches and an office desk. There is a television and media equipment at the center of the living room area. There are books and gameboards for clients to use. There is a standing fan in the living room as well. There is a locked armoire that has another television and a game console that clients can use. Staff supervises the use of the video games to ensure that clients maintain their schedules and able to meet their individual goals. The Foster Youth Bill of Rights is also posted in the living room area. Dining/Kitchen Area: It is located across the door/hallway. The dining area has a table and four (4) chairs. There is a four-burner stove oven, microwave, rice cooker, coffee maker, refrigerator, and toaster oven that clients can use to prepare food for themselves. A menu is posted in the kitchen area. All cabinets are labeled and used to store utensils, plates, can goods, and other food supplies. All canned goods have a sticker where staff documents the food's expiration date. There is a dishwasher in the kitchen but is currently not being used. There is one (1) operating fire extinguisher located in the kitchen area. The kitchen area is clean and well maintained. Reception Area: It is located directly in front of the doorway. Licensing postings are posted in the wall, including the emergency disaster plan for the facility. COVID-19 safety checks are conducted in the reception area. All staff and visitors check in upon arrival. AWOL policies are also posted in the reception area. Bedroom Area: All bedrooms are equipped with two (2) twin size beds, closet space, and lighting, and drawers for clients to use. All bedrooms have carpeted flooring. There is a closet in between the bedrooms that stores linens. No more than two (2) clients share one bedroom. There is an additional wall shelf in between the bedrooms that client may use to store their belongings as needed. There is also a house phone located in between bedroom 2 and 3 that clients may use if needed. Bedroom 1: C Bedroom 2: C2 and C Bedroom 3: C Laundry Room: It is located outside the office area. There is washer and dryer that is being used by clients. There are laundry supplies on the shelf. The laundry room can be accessed at anytime by clients if needed. Bathroom: There is one (1) client bathroom located next to bedrooms. It is full sized bathroom with a sink and toilet. The bathroom is maintained and deemed safe and in sanitary condition during the time of inspection. Next to the laundry room, there is another full sized bathroom that is mostly used by staff but if needed clients may use it as well. This bathroom is kept locked when not in use. There is another full sized bathroom that is being used by staff located in the office area. This bathroom is also being used to store cleaning and disinfecting supplies for the facility. Therapy Room: This room is located across the reception area. This room is used for client therapies and Child and Family Team Meetings. It has a table and three (3) chairs and one (1) reclining chair used during these meetings. There is sufficient lighting in the said room. This room is kept locked by staff when not in used. This area is also used during family visits for privacy. This is typically done during weekends.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/10/2021 at 8:15am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the said facility to complete the facility's required annual inspection. LPA met with Lisa Seibel, administrator who provided the tour of the facility. This facility is licensed to provide care and supervision up to six (6) children ages 11-17 years ambulatory only and non-minor dependents. Currently there are four (4) clients and four (4) staff in the facility at the time of the inspection. LPA Karnsrithong has reviewed two (2) client files and five (5) staff files. Client records are locked and stored in the Therapy room for safe keeping purposes. LPA also conducted two (2) staff interviews. Staff files are currently stored at the corporate office but is available for audit and inspection. Database Compliance Officer had brought the staff files to the facility for inspection. LPA Karnsrithong has observed the following during the time of the inspection: *Grievances/Complaint Box is located in the living room area. Key to the contraceptives cabinet is also located in the living room area.Contraceptives are stored in a different locked cabinet inside the office. Clients may obtain access to it if needed. Outdoor Area: There is a screen door that leads towards the outdoor area from the living room. There is a garden in the backyard. There is a picnic table with an umbrella outside that clients may use. There is also a door from the office area that leads towards the outdoor area. The air condition unit and the utility shut off valves are located along the side of the home. The entire perimeter of the facility is fenced in. The front of the home is fenced in with a black wrought iron fence. (Page 1 of 2) Garage: There is a detached garage in the facility. There are two freezers stored in the garage which is used to store extra frozen food supplies. Sports and play equipment are also being stored in the garage (pool table, surf boards, and balls). Clients can take out the sports equipment to use when they wish to do so. Most activities are done outside the garage. Office: There is an office area located next to the Laundry Room. This office is mainly used by direct care and clinical staff. Licensing postings are also found in the office area. Emergency Polices and Emergency Safety Drill Logs are kept in the office area. The Mental Health Program Certificate is also posted in the bulletin board in the office area. The staff's schedule is also posted in the office area. There are six (6) desks and five (5) chairs in the office that staff uses. There is one (1) bathroom and a storage room located inside the office. The storage room contains toiletries, hygiene supplies, extra clothes, personal protective equipment (PPE), towels, linens, baby supplies, medication cabinet and medication log. The storage room is kept locked when not in use. The client's allowances and cash resources log are documented in the individual client files and are also logged in the Weekly Allowances and Targeted Behavior Binder that is stored and locked in a cabinet in the office. There were no deficiencies cited at the time of the inspection. A copy of this report will be emailed to the facility at a later date. (Page 2 of 2)


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the administrator to evaluate the home for a capacity decrease. The following was observed. This is a three bedroom, three bathroom home locate in the City of Torrance, CA. There are currently five clients in placement. All bedrooms have two twin beds with linens in good condition. There are no security bars on the bedroom windows. There are no bodies of water. There are working smoke detectors in the bedrooms and hallways. There is a carbon monoxide detector in the kitchen. The fire extinguisher is fully charged. Client #1 will be transitioning out of the home on 11/19/2021. Once there are only 4 clients in placement and an updated fire clearance is received, the capacity can be reduced to four.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/24/2022, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility at 2pm to conduct a Plan of Correction Visit. LPA Karnsrithong met with Ruth Mares, Facility Manager. During the visit, there were three (3) staff and two (2) clients onsite. Health and safety risk assessment was conducted upon arriving at the facility. LPA Karnsrithong toured the three (3) client bedrooms. Currently only Room 2 and Room 3 are occupied. Each bedroom has new carpet floors, two (2) twin sized beds, dresser, closet, and adequate lighting. Each bedroom has clean and sturdy mattress. All carpet floors in all bedrooms are clean and in good working condition. All passageways are free of any obstruction or debris. During the visit LPA Karnsrithong also observed the two (2) office rooms. The front office room is used for Therapy Services. The windows in the Therapy Office is in good repair and free of insects and debris. The staff office room is in the back area of the facility. It has six (6) desks and six (6) chairs. The staff office also has its own restroom used by staff only. The facility storage room is also located inside the office. Plan of Correction has been cleared for the facility through today's visit. There are no deficiencies cited at this time. Exit interview was conducted with Ruth Mares, Facility Manager. A copy of this report will be provided to the facility.

met_with: Ruth Mares, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited the facility in response to SIR 847377 which reports that a Staff #1 posted a video of C1 to her personal social media account. Staff #1 is currently not on schedule. C1 was asleep at time of visit. Per Ms. Wilson, he has been expelled from school and is currently not attending any educational program. LPA Jones-Steward will contact CEO/Administrator Cora Manalang to discuss the issues mentioned above.

met_with: Deandra Wilson, Direct Care Staff


summary: Facility Evaluation

raw_content:
Narrative:
On August 31, 2023 10: AM, Licensing Program Analyst (LPA) Charmetha White made an unannounced visit to Dream Home Care Inc. V, for the purpose of conducting a Case Management for Special Incident Report #08-2023-34-CM-14. The incident occurred 08/29/2023 and the incident report was received by the Department on 08/29/2023. LPA met Facility Manager, DeAndra Wilson and discussed the incident. During this visit, LPA conducted a confidential interview. Additional interviews will be conducted on a later date. LPA requested a copy of the following documents: LIC 500 and Staff #1's training records and contact information. Additionally, LPA was informed Staff #1 had been suspended pending an investigation and Client #1 and Client #2 were not available as they were attending class. Based on interviews and information gathered, this case management needs further investigation. Exit interview was conducted, and a copy of this report was emailed to the Facility Manager.

met_with: DeAndra Wilson - Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On April 2, 2024, Licensing Program Analyst (LPA) C. White arrived at Dream Home Care Inc. V, for the purpose of conducting an Annual/Random inspection. LPA met with Administrator, Corazon Manalang who granted access to the facility and together a tour of the interior and exterior premises was conducted. This facility is licensed to provide care and supervision up to four (4) children ages 11-17 years ambulatory only and non-minor dependents. There are currently no clients in placement. Facility overview: The facility is a single story 3-bedroom, 3-bathroom house located in a residential neighborhood, which includes Living room, Dining room, Kitchen, Laundry room, staffing offices, a detached Garage, and a backyard. Living Room: has two sofas, a desk, chair, bookshelves, and an armoire with a television and gaming console. Dining Room: has a wooden table and four (4) chairs. Kitchen: has refrigerator/freezer, a four-burner gas stove/oven (all operable at the time of the inspection), microwave, a toaster oven, rice cooker, and a dishwasher. LPA observed the facility to have a one-week supply of non-perishable foods. There were no perishable foods as the facility does not have clients in placement. The menu is posted, there are plenty of utensils, plates, and cups. The sharp knives are kept in a locked kitchen cabinet and made inaccessible to clients when in care. Laundry Room: has a washer and dryer. Staffing Offices: There is one office is located at the front of the home used as a therapy room. The room contains two chairs, a desk, and locked file cabinets. The second office is located at the back of the home. The room contains several desk and chairs, locked file cabinets, and a storage closet that remains locked at all times. Bedroom 1: contains one (1) twin bed, closet space, drawers, a working light and windows. Bedroom 2: contains one (1) twin bed, closet space, drawers, a working light and windows. Bedroom 3: contains two (2) twin beds, closet space, drawers, a working light and windows. Report continued on LIC 809C (Page 1 of 2) Bathrooms: One bathroom located in the front of the home next to bedroom #1, the second bathroom is located off the living room next to the laundry room, and the third bathroom is located at the back of the home inside of staffing office. All bathrooms contain a shower, tub, sinks, and toilet. All bathrooms were observed to be in good repair and working order. The hot water temperature was tested and found to be between 105-120 degrees (F). The carbon monoxide and smoke detectors were tested and found to be in working order. The first aid kit was checked and found to be complete. The home has 2 regulation fire extinguishers. There is a working telephone readily accessible. Overall LPA observed the home to be clean, safe, and sanitary. The front and backyard were clean and free of debris. Passageways, stairways, inclines, ramps and open porches are unobstructed. There are no bars on the windows. There are no firearms or dangerous weapons in the facility. There was no swimming pool or bodies of water located at the facility. When clients are in care the facility operates within license conditions and limitations including capacity limitations. LPA discussed and advised the Licensee to ensure the following: Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency or the Foster Care Ombudsperson, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements for Group Home Licensure and Emergency Plan were met. The Program does not have any clients or staff at this time. LPA interviewed the Administrator. There were no deficiencies noted on this date. (Page 2 of 2).

met_with: Administrator - Corazon Manalang


summary: Facility Evaluation

raw_content:
Narrative:
On July 3, 2024, Licensing Program Analyst (LPA) C. White and Licensing Program Analyst (LPA) K. Dear made an unannounced visit to Dream Home Care Inc. V, for the purpose of conducting a Case Management for Incident Report #1055940. The incident occurred on 06/26/2024 and the report was received by the Department on 06/27/2024. LPA's met with Administrator, Kevin Bennett. During this visit, confidential interviews were conducted. LPA's requested a copy of LIC 500 and Client Roster. Additionally, LPA's were informed the client returned to the facility on 06/28/2024 and were provided a copy of the updated iTrack incident report. Based on the information obtained, further information is not needed and this incident is being closed. There were no deficiencies cited. Exit interview was conducted and a copy of the report was left with the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/10/2022 at 10:50 am Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a case management-other; regarding recent Administrator and Personnel Changes in the facility. LPA Karnsrithong met with Ruth Mares, Facility Manager. Health and safety risk assessment was conducted upon arriving at the facility. COVID-19 checks are conducted in the front entryway of the facility. During the visit, LPA Karnsrithong has observed that the window in the therapy room is broken. The window is covered and boarded up and no child is using this room as a bedroom. LPA Karnsrithong also has observed the client bedrooms. Bedroom 1 has one twin sized bed with clean linens and a sturdy mattress. There is adequate closet space and lighting that was observed. Bedroom 1 carpet floor was observed to have visible large stains. Bedroom 2 was observed to have two (2) twin sized beds, adequate closet space and lighting. There are clean sheets and sturdy mattress on the beds. Bedroom 3 was observed to be clean and free of any debris. It has two (2) twin sized beds with sturdy mattress and clean sheets. There is adequate closet space and lighting in this room as well. The carpet in the middle of the room in bedroom 3 was observed by LPA Karnsrithong to be ripped. A deficiency is cited at this time based on: Title Division Article Section 80087 (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. Plan of correction is discussed with the licensee. Exit interview was conducted with Facility Manager and a copy of this report will be provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward returned to the facility to complete the investigation of SIR 847377, the allegations that Staff 1 had inappropriate conversation with C1 and that Staff 1 and Staff 2 uploaded a video of C1 to their Tik Tok account. During the investigation it was determined that both allegations were true. Dream Home Care V was cited under Personal Rights. The facility has already submitted documentation of their internal investigation and discipline of the two staff members. Ms. Manalang was requested to write a letter stating what has been done.

met_with: Cora Manalang


facility_name: DREAM HOME CARE INC.I

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the above allegations. LPA spoke to the RP, who would not reveal the name of the complainant. LPA also spoke to the CEO of Dream Home Care, Inc I and to Client #1. LPA reviewed documentation that the facility provided trained staff and nurses to assist Client #1 with his dietary and medication and documentation that the situation was discussed in several CFT meetings. Although the facility provided ample documentation that appropriate steps were taken to accomodate Client #1's dietary and medication needs, it was determined that an "unfounded" finding could not be rendered without the LPA having access to speak to the original reporter to determine what triggered the allegation. Therefore the allegation is resolved as unsubstantiated. Unsubstantiated means that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1


raw_content:
Investigation Findings:
13Licensing program analyst Connie Jones-Steward investigated the above allegations. LPA reviewed the activity calendar, clothing allowance policy and food supply. LPA interviewed staff and clients. LPA was not able to obtain consistant information regarding the above allegations during the interviews or observations. Based on lack of consistancy in interviews and observations, the above allegations were resolved as unsubstantiated.. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 1

met_with: Jerrell Nero, Administrator


raw_content:
Narrative:
Evidence obtained confirm that the clients were provided haircuts on a biweekly basis. Evidence also indicated that the clients receive daily meals that include breakfast, lunch, snack, and dinner. Due to a lack of evidence obtained during the investigation, LPA determined that the allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Administrator.

Investigation Findings:
13On September 14, 2023, at 11: AM, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at DREAM HOME CARE INC.I to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available parties and gathered pertinent information in reference to the allegation. The Licensee denied the allegation. Based on confidential interviews, review of documentary evidence, and observation of facility there is no evidence or witnesses to support, that staff is barricading clients' windows to prevent them from entering and exiting facility. There was no observation of sticks placed in the window preventing window to open and close. Records and confidential interviews were congruent that the staff utilized crisis communication techniques to discourage unauthorized absences of clients. Incidents of client's unauthorized absences are documented on an Incident Report and client's representatives and CCLD were advised of incidents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 09/14/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

met_with: Program Administrator