raw_content:
Narrative:
It was alleged that staff do not ensure that minor(s) in care are provided with a sufficient quantity of food. Based on a tour of the facility conducted on 5/10/24, records reviewed and confidential interviews, staff grocery shops minimum once a week. Based on LPA Martin observations there was food in the facility. Based on confidential interviews, staff conduct weekly meetings to provide clients with the opportunity to participate in creating a grocery list by asking clients individually what food, snacks and meals they would like for staff to purchase. It was alleged that staff do not ensure that minor(s) in care attend school. Based on confidential interviews and records reviewed revealed that the authorized representative and facility staff approved (C1) to skateboard/walk to school and the other clients at the facility receive transportation by facility staff and car service/school bus. Records reviewed and confidential interviews also revealed that staff ensure clients are attending school by reviewing the attendance sheet provided by the school weekly and by receiving telephone calls from the school daily. Confidential interviews revealed that the clients do refuse to attend school often, staff will make multiple attempts to convince clients to attend school until they verbally refuse then staff will document school refusals in SIRs. It was also alleged that staff do not adequately supervise minor(s) in care. Based on confidential interviews, clients are always supervised, and room checks are conducted every 15 mins unless more supervision is needed based on the client situation. Staff ensure that clients that walk/skateboard to school, the school will text, call and email if the clients are absent or late to school. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. There were no deficiencies cited during this inspection. An exit interview was conducted and a copy of this report as well as LIC 811 was provided to the facility representative.

Investigation Findings:
13On August 13, 2024, at 9: AM Licensing Program Analyst (LPA) Timika Martin conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations listed above. LPA Martin met with the facility representative named above and discussed the findings. During the investigation, LPA Martin conducted a record review on 5/10/24 and obtained copies of client's needs and services plan (NSP), client roster, special incident reports (SIRs), transportation schedule, school attendance sheet, CFT notes, weekly food menu and grocery receipts. LPA also requested copies of the LIC 500, staff contact information. Confidential interviews were conducted by LPA Martin with Staff 1 (S1) and Client 4 (C4) on 5/10/24, Client 1 (C1) on 6/20/24, Staff 2 (S2) on 7/1/24, Staff 3 (S3) on 8/6/24 . Client 2 (C2), Client (C3), Client 5 (C5) and Client 6 (C6) refused to conduct interviews on 6/4/24 (See Confidential Names List Form LIC 811 dated August 13, 2024). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Timika Martin 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 08/13/2024

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

met_with: Farrah Richmond, Administrator


state: CA

facility_name: DIGNITY STRTP

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continue from page 1 . . . The staff#1 was not available to be interviewed and had re-signed after the incident. The staff interviewed stated they were not present at the time of the alleged incident. Staff stated staff#1 got along with the clients well and the clients that were interviewed stated the staff was good with them and stated they did not have any issues with him. Client#1 was not available to be interviewed and could not be located. Others interviewed stated they had no concerns with the staff and the way the they interacted with the clients. Clients interviewed denied seeing anything as to what was alleged. Client#4 stated he was client#1's roomate and stated he never saw any bad interactions between staff#1 and client#1. Client#2 denied the allegations. Based on the interviews and records reviewed, the allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. 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 December 18, 2024, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow-up complaint inspection to the above facility and met with La Qeishia Hagans, Head Of Service. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed three youths and two staff on 12/18/24, LPA , LPA attempted interviewed staff#1 via telephone and also client#1 both were unavailable (see Confidential Names Form LIC 811 dated December 18, 2024). LPA also reviewed documents including but not limited to Client's rooster, staff rooster, Client's Need and Service Plans, Special Incident Reports (SIR) and other documents. It was alleged staff threatened a minor while in care another minor and staff spit on a minor while in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 12/18/2024

report_type: Complaint Investigation

met_with: La Qeishia Hagans, Head Of Service

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was also stated that staff did not use restraints and was verbally trying to redirect and comfort C1. At some point staff was trying to get into the room upstairs to prevent minor hurting himself and the other children in the room with him, where staff lost balance and accidentally landed on the minor. It was also alleged staff caused injuries to minor in care. During the investigation, records review and information received from confidential interviews, it was concluded, that that staff did not cause injuries to C1. According to the medical records from the hospital there were no reports or records of injuries or bruises by the medical team or no concerns expressed by the attending physicians that would confirm the allegations. Records from the Hospital Social Worker did not show any concerns as well. Based on the information obtained from the interviews,records and observations the above allegations are determined UNSUBSTANTIATED. Continue page Although the allegations above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. An exit interview was conducted. A copy of the LIC 9099 and LIC9099C and the Appeal rights were given and explained. No deficiencies were cited.

Investigation Findings:
13On 12/20/2024 at 8: AM Licensing Program Analyst (LPA), Olena Maico conducted a follow-up unannounced complaint inspection with the above-mentioned facility and met with Jerry Phillips, Facility Manager. The purpose of the visit was to deliver the findings for the above complaint allegations. During the investigation, LPA reviewed facility records (staff Emergency Intervention trainings, SIRs, Clients' Needs and Services Plans) and conducted investigative interviews with a total of 8 staff, 4 foster children (which included witnesses present during the incident) and the complainant. LPA also reviewed medical records received from the Behavioral Center where the client was originally admitted and did not find any evidence to support the allegations or client's statements. LPA interviewed County Social worker (CSW) and the CSW had no concerns about the facility and the placement of the client. It was alleged that the staff attacked the minor in care. Based on confidential interview it was revealed that the staff S1 and S2 was trying to prevent C1(See confidential names LIC811 dated 12/20/24) from a suicidal attempt and from hurting other clients in care. Continue page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Olena Maico 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 12/20/2024

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

met_with: Jerry Phillips, Facility Manager


raw_content:
Narrative:
On 12/09/2024, the Department received a complaint alleging that inappropriate photos of a client's frontal private part were obtained and posted on a social media website for public viewing while at the STRTP facility. The Facility Administrator and other facility workers denied the allegation of having prior knowledge of the planning of the reported incident toward the focused client that was identified in the report. The FA disclosed that they first became aware of the photos of the client's private part of his penis being posted on a social media website after the focused client approached a facility staff to report that he was "set up" by other clients at the facility, and how they had accessed his nude photos. FA disclosed that they submitted two Special Incident Reports related to the incident. FA stated that they would not allow any client to participate in any activities that are deemed inappropriate. Other confidential interviews with the clients by LPA Vargas provided inconsistent statements regarding the alleged allegation. Some clients denied having any knowledge, and other clients commented that they did not wish to disclose any information that would identify those individuals involved in posting photos of the focused client's private parts. Pictures of the alleged incident could not be obtained by those interviewed. Based on the information gathered during confidential interviews, it cannot be determined whether the allegation occurred resulting in inappropriate photos of a client's penis being posted on a social media website, allowing access by other clients 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 evidence to prove that the alleged abuse occurred. The resolution to this complaint was discussed with the facility representative and copies of all licensing reports were provided after the inspection. An exit interview was conducted and the Appeal rights were given and explained. No deficiencies were cited at this time.

Investigation Findings:
13On 01/30/2025 at 09: AM, Licensing Program Analyst (LPA) Heriberto Perez on behalf of LPA Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA Perez met with Ms. Richmond, Administrator. During the investigation, LPA Vargas conducted in-person visits and telephone interviews with county social worker, six clients, and three staff workers on 12/13/2024 (reference confidential names list LIC811 dated 01/29/2025). During the inspection, LPA Vargas 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 documents associated with this complaint investigation. 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 01/30/2025

met_with: Ms. Richmond, Administrator.


raw_content:
Narrative:
Information obtained from confidential interviews did not support the allegations. The allegations were denied by clients in placement. Clients did not witness staff disrespect and push the identified minor. Clients denied witnessing staff go through and take the identified minor's personal belongings without consent. Clients spend time in the backyard when they want to. They voluntary participate in extra-curricular activities and outings however, some expressed dissatisfaction with the outings being very limited and repetitive like the local park, malls and movies. Staff denied the allegations and explained that they use crisis communication when clients exhibit aggressive behaviors toward other clients and staff. The identified minor made frequent verbal threats to other clients and staff early on during placement and intimidated other clients by disclosing minor's own prior placement history with probation. The identified minor often had to be redirected and reminded of boundaries to prevent any conflict and escalation of behaviors. Despite staff's positive engagement and guidance to support the identified minor in meeting the goals in minor's needs and services and placement preservation plans, the facility had to request a placement change due to unsafe behaviors exhibited by the identified minor. These include continued aggressiveness to other clients and staff, unauthorized absences from school and the facility, and bringing in substances to the facility. In regard to client access to the backyard and extra-curricular activities of clients, clients are allowed to play pool, ride their bike and to skateboard in the backyard. Clients decide their paid and unpaid activities during group meetings. Based on information obtained, the personal rights allegations are determined to be unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence found to support it. The following reports were provided to the facility representative at the conclusion of today's inspection: LIC9099, LIC9099-C and LIC Confidential Names. Appeal rights forms were also given and explained. There was no deficiency citation issued.

Investigation Findings:
13On June 30, 2025 at 1:45pm, Licensing Program Analyst (LPA) Irene Yamamoto conducted an unannounced complaint inspection at the facility and met with the facility representative named above. The purpose of the inspection is to deliver the finding regarding the above personal rights allegations received by the Department on March 13, 2025. This LPA investigated the allegations. Confidential interviews were completed with facility staff between 3/19/25 to 4/22/25, and clients in placement on 4/3/25, 4/22/25, 4/24/25 and 5/9/25. LPA contacted other related parties between 3/17/25 and 5/13/25. Numerous attempts were made to obtain a statement from the identified minor on 4/3/25, 4/7/25, 4/22/25, 4/24/25, 6/10/25 and 6/16/25 but all attempts were unsuccessful. Additionally, LPA attempted to obtain information from the county placement agency staff by phone and email on 3/17/25, 5/13/25, 5/19/25 and 6/6/25 but the attempts were unsuccessful. Pertinent records were reviewed including, but not limited to the Register of Clients, Personnel Report, Needs and Services Plans, Child and Family Team Meeting (CFTM) notes, Incident Reports and Schedule of Activities. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 06/30/2025

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


raw_content:
Narrative:
Continue from page 1 . . . . The facility (GH) staff denied the allegation and stated that clients are given wake up calls during during the school week. The staff stated that several wake up calls are given to the client every 15 minutes or so to get ready to go to school. The staff stated that the clients are encourage to go to school and are reminded of their program. The staff denied yelling or cursing at the clients when not following directions or acting up but talk to the clients in a firm way only. The staff stated that clients are only taken out of school early when clients have appointments or issues at school. The confidential interviews indicated that the staff does wake up call to the clients several times and are told that it time to get ready for school. The confidential interviews indicated that the staff encourages the clients to go to school when client don't follow the wake up call or refuse to go to school. The client in question had inconsistent statement and stated that the staff does wake up calls but has not yelled or cursed at the client, the client stated that the staff has taken him out of school early but did not remember the reason why. The other interviews indicated that the staff does wake up calls and have not yelled or cursed at the clients. There were two clients that were recently new to the GH and did not have knowledge of the procedures in the GH. There were no witnesses to support the allegation. The County Social Worker stated having on major concerns with the care and supervision in the GH. 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. 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 July 24, 2025, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Jerry Phillips, Lead Facility Manager. The purpose of the inspection was to deliver the revised finding for the above complaint allegation. During the course of the investigation, LPA interviewed three staff and two clients in the facility on 05/12/25, LPA conducted collateral visits and interviewed three clients on 05/14/25, LPA conducted a telephone interview with County Social Worker (CSW) on 07/23/25 (see Confidential Names Form LIC 811 dated July 24, 2025). LPA also reviewed documents including but not limited to Client's Need and Service Plan, Special Incident Reports (SIR), and other documents. It was alleged Staff does not treat minor with respect. 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 07/24/2025

met_with: Jerry Phillips, Lead Facility Manager


raw_content:
Narrative:
On 4/23/25 the Department received a complaint alleging facility staff made inappropriate comments to a client in care and staff is withholding activities from clients as a form of discipline. It was alleged that one facility staff ask a client if the client wanted to cuddle and client is not being allowed to attend outings or participate in activities. Based on the record review, confidential interviews, and additional information gathered the allegations were not corroborated. The facility staff denied making inappropriate comments towards clients. The facility staff denied not allowing clients to attend outings or participate in activities as a form of discipline. Confidential interviews revealed contradicting statements about the allegations. CSW indicated having no concerns with the facility. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On July 25, 2025, at 9: AM 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 the facility administrator Farrah Richmond. During the investigation, LPA Cabral interviewed three facility staff (AD, S2, S3) on 5/1/25. LPA interview with one facility staff (S1) on 6/30/25. LPA interviewed one client (C1) on 6/11/25, three clients (C2, C3, C4) and attempted to interview two clients (C5, C6) on 6/12/25 (see Confidential Names Form LIC 811 dated July 25, 2025). LPA reviewed incident reports, needs and service plan (NSP), facility rules, discipline policy and facility activities schedule. LPA interviewed one county social worker (CSW1) and attempted to interview two county social workers on (CSW2, CSW3) on 5/1/25. 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 07/25/2025

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint regarding multiple allegations including inappropriate sexual activity - harboring prostitutes, failure to maintain buildings and grounds - foul odors inside the facility, inappropriate forms of punishment - clients fed certain food for complaining, and unlawful eviction of facility clients - clients removed due to failing to turn over prostitutes. Facility staff denied the allegation. Statements obtained from confidential interviews conducted did not support the allegations. The facility clients who were interviewed denied sex-trafficking occurs at the facility, denied foul odors are present at the facility, denied concerns related to food service, and stated the previous clients who were identified as being "kicked out" had their placement end due to poor behavior. One of the clients reported to have been removed still remains an active placement. Also, records review revealed law enforcement investigated the allegations and the findings were unsubstantiated. Based on interviews and records review conducted by SI Patterson and LPA Larios, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. A copy of this report and Confidential Names form LIC811 dated October 14, 2025 were provided to the above-mentioned facility representative. Exit interview conducted. No deficiencies were cited.

Investigation Findings:
13An unannounced follow up complaint inspection was conducted on October 13, 2025, at 2: PM, by Licensing Program Analyst (LPA) Christopher Larios. During the inspection LPA Larios met with Lead Facility Manager (LFM) Jermaine Manassa. The purpose of the inspection was to deliver findings regarding the above mentioned complaint allegations. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator Lorraine Patterson and LPA Larios. During the course of the investigation SI Patterson conducted interviews with three facility staff and a facility client. The interviews were conducted between August 9, 2025, and August 16, 2025. In addition, SI Patterson obtained law enforcement reports on September 3, 2025 and September 15, 2025. Also, LPA Larios conducted interviews with five social workers and four clients. The interviews were conducted between October 7, 2025, and October 9, 2025. Two facility clients declined to be interviewed. A record review was conducted on August 20, 2025, and LPA Larios obtained copies of, but not limited to, LIC9020, LIC500, food menus, client discharge information, and needs and services plans. (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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 10/14/2025

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

met_with: Jermaine Manassa


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analysts (LPAs) Claudia Portillo and Angelina Garibaldo conducted a pre-arranged pre-licensing inspection at Dignity Short Term Residential Therapeutic Program (STRTP). This inspection was conducted with Sarah Philips, chief executive officer and included observation of the following: A physical plant inspection was conducted. The following were observed at the time of inspection: This facility is a two story home located in a residential neighborhood. The facility consists of 4 bedrooms, 2 full bathrooms, a half-bath, a living room, kitchen, dining room, 2-car garage, laundry room, a staff office, and a backyard. Overall, the facility is clean, sanitary and in good condition. The facility has no bodies of water. Individual beds in good repair, equipped with good springs, clean mattresses and pillows observed. Individual beds were observed with appropriate clean linens in good repair. Adequate supply of additional bedding and linens observed. · Hot water measured within the required range. (Describe how/by whom the water temperature was measured) · All smoke detectors were tested and appear to be in proper working order. · Carbon monoxide detector(s) observed. · Fire extinguishers properly charged. · Facility maintains a current fire clearance. · Appropriate forms posted in view of facility clients. The following items were discussed and reviewed by LPA during Inspection 1. LIC 500 reviewed to ensure appropriate staffing ratios, including Administrator, Social Work personnel, and Direct Care staff. The facility does not utilize Peer Partners at this time. 2. The Administrator (Ombeni Mkanza) will be present on-site a minimum of 20 hours per week. 3. Personnel files obtained/reviewed to ensure staff meet regulatory requirements. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files are retained in the staff office and will be available to the department for review upon request. 4. Facility procedures for 30-day updates of Needs and Services plans discussed. 5. Reporting requirements and incident reports that must be submitted to the department within a specific timeframe 6. PIN 23-11-CRP; PIN 23-02-CRP Community care licensing (CCL) focuses its efforts on three priority areas: prevention, compliance, and enforcement. A Component III meeting was also held and best practices and common regulations were discussed with the applicant. An exit interview was conducted a signed copy of this report was provided to the applicant.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Sarah Philips, chief executive officer


summary: Facility Evaluation

raw_content:
Narrative:
On February 27, 2024 at approximately 12: PM, Licensing Program Analyst (LPA) Claudia Portillo conducted a post-licensing inspection at the facility. LPA met with Sarah Phillips, Administrator/CEO and discussed the nature of today's inspection. The Short Term Residential Therapeutic Program (STRTP) is located in a residential neighborhood and currently has six youth in placement. LPA and Administrator toured the facility inside and outside. During the inspection, LPA observed three bedrooms in and each room has twin beds, dressers and closet space. Sharp knives, medications and cleaning supplies are kept locked in areas inaccessible to children. Overall, the facility appeared clean, safe, and sanitary. LPA observed the bathrooms to be in good repair and working order. A menu was posted that itemized the necessary items for dining purposes. There is adequate space in the living room area. LPA observed a game room for the clients' use. LPA observed fully charged fire extinguishers and exit signs inside the facility. LPA also observed a fully stocked linen closed and a laundry room. The facility currently has one SUV that seats eight passengers. The last fire drill was conducted on January 15, 2024. LPA observed the following posted on a bulletin board: personal rights information, emergency disaster plan, evacuation plan information, and the facility license. Smoke alarms were operable throughout the facility. There is adequate space for indoor and outdoor activities. The outdoor areas were observed to be free of debris and hazards. LPA reviewed staff and client files and found the reviewed files to be in order. The most recent Board of Director's meeting occurred on February 17, 2024. LPA obtained an updated LIC500 (Personnel Report) and a client roster. A citation and technical advisory's were issued during today's inspection. A plan of correction was discussed and developed with the above representative.An exit interview was conducted and a copy of this report along with the appeal rights were given to the representative above. .

met_with: Sarah Phillips


summary: Facility Evaluation

raw_content:
Narrative:
On 4/23/ Licensing Program Analyst (LPA) Claudia Portillo conducted an unannounced case management inspection to the facility for the purpose of reviewing the clients needs and services plan ILS regulation: 87068.2(b) for children and ILS regulation 87068.22(b) for non-minor dependent. During a post-licensing, LPA Portillo advised the Administrator and Head of Service that the NSP must be trauma informed and must include all sections under the regulation for NSPs. The LPA provided a copy of the CARE tools as a guide to modify the NSP. Per record review, the NSP form is currently being modified to reflect the updates on ILS V5. The final form will be completed by May 1, 2024. A copy of this report was provided to the representative above.

visit_type: Case Management

met_with: LaQeisha Hagans, Head of Service


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2024, Licensing Program Analyst (LPA) Claudia Portillo conducted a case management inspection at the facilty above and met with LaQeisha Hagans, Head of Service. The purpose of the inspection was to follow-up on information that the Department received late on 02/20/24. The information indicated that on a client was assaulted by an unknown perpetrator while on his way to a friend's house. The client didn't disclose any information to the facility staff. The staff indicated that the client went AWOL on 2.19.24 and received a call from the police on the same day to report they had found the client near a gas station wandering around. The officer indicated client was evaluated and 5150 at a hospital. The facility staff was not made aware of any medical injuries reported by the client or officer. The client returned back to the facility and there were no concerns. However, the client received follow up appointment with his psychiatrist and wrap team. An exit interview was conducted and a copy of the LIC 809 and LIC 811 were provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2024, at 9: AM, Licensing Program Analyst (LPA), Jason Dalton, arrived unannounced for a case management other to Dignity the Short Term Residential Therapeutic Program facility (STRTP) for the purpose of capturing signatures and delivering an LIC 809 for visit conducted on June 5, 2024. A copy of this report was given to Executive Director Sarah Philips.

met_with: Sarah Philips, Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2024, at 9: AM, Licensing Program Analyst (LPA), Jason Dalton, arrived unannounced for a case management other to Dignity Short Term Residential Therapeutic Program facility (STRTP) to deliver an LIC 809 case management other report for LPA's visit which was conducted on 6/5/24. Due to computer issues on 6/5/ LPA was unable to capture signatures and leave report at the facility. This report was discussed and reviewed with Sarah Philips, Executive Director.


summary: Facility Evaluation

raw_content:
Narrative:
Control # 0001281-FN On December 18, 2024, Licensing Program Analyst (LPAs) Emad Elias and Christopher Larios conducted a case management inspection at the facility above and met with LaQeisha Hagans, Head of Service. The purpose of the inspection was to follow up on information that the Department received on 11/27/24. Census six (6) During the inspection LPAs obtained a copies of the most recent two Child Family Team notes, Needs and Service Plan, school information and LIC 9020. A copy of LIC 809, LIC 811, and appeals rights was provided to the facility representative. Further investigation is required.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2024, Licensing Program Analyst (LPAs) Emad Elias and Chris Larios conducted an unannounced Annual Inspection at the facility and met with the representative above. LPAs stated the purpose of the inspection to the STRTP representative. During the inspection a copy of the Register of Facility Clients and Personnel Report was provided upon request. The following topics were inspected: LPA obtained and reviewed the following updated documentation: · LIC Personnel and client roster Annual compliance Review consisted of the following one (1) domain: physical plant. An exit interview was conducted and the STRTP Administrator LaQeisha Hagans, Head of Service who agreed with the review finding and recommendation. LPA provided a signed copy of this report LIC 809. Further inspection is required on a separate day. The following domains require a continuance of review (Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Client Records, Clients with Special Health Care Needs, Core Therapeutic Services).

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On January 24, Licensing Program Analysts, (LPAs) Emad Elias, Angelina Garibaldo and Licensing Program Manager (LPM) Gustavo Garcia met with Farrah Richmond, Program Administrator and conducted an annual inspection of Dignity. The following sections of the CARE tools were completed: Physical Plant, Operational Requirements, Disaster Preparedness, Client Records, and Core Therapeutic Services. The following sections remain to be conducted at a later time: Emergency Intervention Plan, and Staffing Records. A copy of this report was given to the facility. No citations were issued during today's visit.

met_with: Farrah Richmond, Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 19, 2025, at 10: AM, Licensing Program Analysts (LPAs) Emad Elias, Angelina Garibaldo, Claudia Portillo and Licensing Program Manager (LPM) Gustavo Garcia conducted subsequent unannounced visit to continue an annual/required inspection that was initiated on 12/18/2024. LPA's met with Farrah Richmond, Administrator. There are six (6) clients placed in the facility currently. LPAs reviewed staff four staff files, and conducted one client interview and one staff interview. LPA Portillo reviewed three client medication logs. An exit interview was conducted. No deficiencies were cited at this time. A signed copy of this report was given to STRTP administrator. A subsequent visit is required at a later date.

met_with: Farrah Richmond, Administrator LaQeisha Hagans, Head of Service


summary: Facility Evaluation

raw_content:
Narrative:
On March 17, 2025, Licensing Program Analysts (LPAs) Emad Elias, Angelina Garibaldo, Claudia Portillo and Licensing Program Manager (LPM) Gustavo Garcia conducted an unannounced Annual Inspection met with Farrah Richmond, Administrator, for the purpose of the continuance of the annual. The following topics were inspected today. Emergency Intervention and client files. Two staff and 1 client interviews were conducted. A copy of the following reports were issued: LIC 809, LIC 809D, LIC 9102, LIC 811 and appeal rights were provided.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Emad Elias and Angelina Garibaldo conducted an inspection at Dignity STRTP on March 17, 2024 at 5: PM. The purpose of the inspection was to conclude a case management that was initiated on December 18, 2024. LPAs met with Farrah Richmond and advised her of the purpose of today's visit. LPA Elias advised the Administrator that no further follow up is required and the incident had already been investigated. A Copy of this report was provided to the administrator.

met_with: Farrah Richmond-


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Emad Elias conducted an inspection at Dignity STRTP on April 10, 2025 at 9: AM. The purpose of the inspection was to follow up on a case management that was initiated on February 26, 2025. LPA met with Farrah Richmond and advised her of the purpose of today's visit. LPA requested two client CFT and needs and services plan, SIRs from March to present, bedroom arrangements, staff shift schedules, safety plan, contact notes, LIC 500, and client roster. LPA Elias interviewed a client C1. A follow up visit is required. A Copy of this report was provided to the administrator.

met_with: Administrator, Farrah Richmond


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Emad Elias conducted an inspection at Dignity STRTP on May 14, 2025 at 8: AM. The purpose of the inspection was to follow up on a case management that was initiated on April 24, 2025. LPA met with Program Administrator, Farrah Richmond and advised her of the purpose of today's visit. LPA requested two client CFT and needs and services plan, SIRs from April to present, bedroom arrangements, staff shift schedules, safety plan, contact notes, LIC 500, client roster and preservation meeting notes. LPA Elias interviewed three clients and an administrator. A follow up visit is required. A Copy of this report was provided to the administrator.

met_with: Farrah Richmond-Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 3, 2025, at 2:00 p.m., Licensing Program Analyst (LPA) Emad Elias conducted an unannounced Case Management inspection at Dignity (STRTP). LPA met with LaQeisha Hagans, Head of Services. On February 26, 2025, the Department received an SIR stating that on February 11, 2025, the reporting party stated that FC1 was hit on the butt by another client in the facility. A second client (FC2) reported that the same resident (FC3) also hit him in the groin area. RP did not provide any additional information regarding the incident. (See LIC Confidential Names list dated 7/3/25). During this inspection, LPA was advised that the facility does not house FC1 because he was reunited with his grandmother in another state. LPA asked the facility for the following: STRTP residents' rules, home study FC1, FC 2 and FC 3's Needs and Services Plan, and CFT Meetings held after the incident, and for safety plans created to safeguard against future recurrences and reduce the potential for harm to FC1 and FC2. LPA asked for contact notes between FC1's County Social Worker (CSW) and/or other representatives of FC1. The facility administrator will email documents to LPA within 24 hours. No deficiencies were cited at this time. A signed copy of this report was left with Farrah Richmond. Exit interview conducted.

met_with: Dr, LaQeisha Hagans-


summary: Facility Evaluation

raw_content:
Narrative:
On August 28, 2025, at 12: PM Licensing Program Analyst (LPA) Timika Martin conducted an unannounced inspection at Dignity STRTP and met with Administrator, Farrah Richmond for the purpose of delivering an amended report regarding a case management deficiency that was issued on July 16, 2025. The facility was issued a citation using the incorrect regulation. The regulation used to cite applies to Short-Term Residential Therapeutic Programs (STRTP) serving more than six children and requires at least two awake and on duty direct care staff present at the facility during the hours of 10PM to 7AM. Dignity is licensed for six or fewer children and per regulation is required to have one awake and on duty direct care staff for every six children, or fraction thereof, present, at a minimum during the hours of 10PM to 7AM. Therefore, the deficiency that was cited on July 16, 2025, does not apply to your facility. Dignity was in compliance with the ILS regulations. Based on review, the deficiency is dismissed. An exit interview was conducted, and a copy of the report was left with the Administrator, Farrah Richmond.


summary: Facility Evaluation

raw_content:
Narrative:
On November 25, 2025, at 8:15AM Licensing Program Analyst (LPA) Timika Martin conducted an unannounced inspection at the facility. LPA met with Administrator, Farrah Richmond. The purpose of the inspection was to conduct an unannounced Annual/Required Inspection. There are currently 5 clients care. LPA obtained and reviewed the following updated documentation: · LIC Personnel, Client roster · LIC C Emergency Disaster Plan · Current Board Minutes · Continuous Quality Improvement report · Mass Casualty Plan The compliance and regulatory enforcement (CARE) tool was used by the LPA when conducting today's inspection which consisted of a review of the following domains: Physical Plant. This facility is a two-story home located in a residential neighborhood. The facility consists of 3 bedrooms, 2 full bathrooms, a half-bath, a living room, kitchen, dining room, 2-car garage, laundry room, a staff office, administrator office and a backyard. Overall, the facility is clean, sanitary and in good condition. The facility has no bodies of water. The following domains require a continuance of review: Operational Requirements, Disaster Preparedness, Emergency Intervention Plan, Staffing Records, Client Records and Core Therapeutic Services. An exit interview was conducted, and a signed copy of this report was provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Timika Martin, Pamela Silva and Emad Elias on 04/10/2025 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 Farrah Richmond, Administrator and inspected the facility inside and out. LPAs reviewed 3 of child's records and 3 of staff personnel files on site at the facility. LPAs reviewed 3 of child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. One client refused to conduct an interview, two clients were unavailable at the time of inspection. LPA's will attempt to conduct client interviews at a later date. During the inspection the LPAs observed deficiencies (see attached 809D). A Technical Advisory was issued (see LIC 9102). Plan of corrections was discussed, and appeal rights were provided. LPAs provided a copy of this licensing report and appeal rights to Farrah Richmond, Administrator.

met_with: Farrah Richmond


summary: Facility Evaluation

raw_content:
Narrative:
On July 17, 2025, at 10: A.M., Licensing Program Analyst (LPA) Emad Elias conducted an unannounced Case Management inspection at Dignity (STRTP). During the inspection, LPA Elias met with Farrah Richmond, Administrator, to follow up on a case management that was initiated on 5/14/25. On April 24, 2025, a Serious Incident Report (SIR) was submitted to the Department. The SIR stated a neighbor observed a youth and another person on his property. A client at the facility stated that he brought his girlfriend into the facility through the window and during the fifteen-minute checks, the girlfriend would hide. The youth also stated that his roommate was asleep when this occurred. The administrator of the facility called the San Bernardino Police Department. LPA Elias interviewed four clients and found that two clients saw and were aware of the girl being in the facility at night. LPA Elias also interviewed two current staff and two former staff. Staff interviews revealed the incident occurred. The facility will be cited for lack of supervision. The facility is being cited for violation of 80078(a) Title 22, Division Chapter 1, Article 6. Responsibility for providing care and supervision. The Licensee shall provide care and supervision as necessary to meet the client's needs. Based on statements obtained and record review, STRTP failed to provide adequate supervision A copy of this report, LIC811, LIC 809, LIC 809D, and Appeals Rights were provided to the above-mentioned facility representative. Exit interview conducted. A signed copy of this report was left with Farrah Richmond.


summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2025, at 10: A.M., Licensing Program Analyst (LPA) Emad Elias conducted an unanRchmond, Administrator. The case management was to follow up on additional information that was found during another case management inspection that was initiated on July 3, 2025. During initial case management, the facility's administrator provided a work schedule for the week of April 23rd to April 29th. During that week, two staff members were assigned the overnight shift from PM to 7AM on Monday, Tuesday and Wednesday while one staff was assigned the overnight shift PM to 7AM on Thursday, Friday, and Saturday. Based on record reviews, it was revealed that the facility was not operating within the required staff-to-climate ratio. The facility is being cited for violation of Interim Licensing Standards Direct Care Staff/Child Ratios 87065.5(b)(2)(B). When there are two to six children present at the facility, there shall be at least two awake and on duty direct care staff present at the facility. Based on statements obtained and record review, STRTP failed to provide adequate client to staff ratio. A copy of this report, LIC 809, LIC 809D, and LIC 811, and Appeals Rights were provided to the above-mentioned facility representative. Exit interview conducted. A signed copy of this report was left with Farrah Richmond. Exit interview conducted.


summary: Facility Evaluation

raw_content:
Narrative:
On July 26, 2024, Licensing Program Analyst (LPA) Claudia Portillo conducted a case management visit at the STRTP and met with the representative above. The purpose of the meeting was to discuss various topics. During a complaint investigation conducted by LPA Timika Martin there were multiple concerns regarding allowance and food. Census: 6 87072 ( c) (36)PERSONAL RIGHTS/ Allowance To receive an age-appropriate allowance. LPA Timika obtained information that facility staff have not distributed clients their weekly allowance for about 3 weeks as a form of discipline. 80076(a)(5) Food service Menus should be written at least one week in advance and copies of menus served shall be dated and kept on file for at least 30 days. LPA Timika observed expired food items, food not properly stored and facility staff could not provide a food menu for weeks in April of 2024 and the beginning of May 2024. Based on the information gathered, the preponderance of evidence to prove the allegation was met, therefore the allegation is substantiated per California Code of Regulations Title 22 - refer to LIC9099-D for deficiencies. A copy of this report, Confidential Names Form, LIC 9099-D for deficiency and Appeal Rights was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On March 04, 2026 at 11: AM Licensing Program Analyst (LPA) Timika Martin conducted an unannounced case management inspection at Dignity STRTP and met with Administrator, Farrah Richmond. The purpose of this case management is to follow up on additional information that was received during the during the annual inspection. Based on confidential interviews, clients are not going on scheduled outings. Confidential interviews also revealed that generic food brands are being purchased for clients instead of what is requested. During the inspection, LPA Martin requested copies of the client's needs and services plan and the LIC 500 with staff contact information. LPA also reviewed and requested copies of food menus, grocery receipts, activity calendars and activity refusal forms. LPA conducted a tour of the facility and conducted interviews with two clients and three staff. An exit interview was conducted, and a copy of the report was left with the Administrator, Farrah Richmond. Further follow-up is needed.


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
On August 27, 2025, allegations were made that C1 was knocked down by staff, sustained bruises, and was called a bitch. Confidential interviews, along with video confirmed that the incident occurred. The evidence shows that S1 acted aggressively toward C1. After reviewing interviews and video footage, the Department determined that the preponderance of evidence standard has been met. The allegations that C1 was knocked down, sustained bruises and was called a bitch while in care are substantiated. This poses an immediate Health, Safety, or Personal Rights risk to children in care. The Facility is cited for STRTP Interim Licensing Standards Chapter 7.5 section 87072(d)(11) Personal Rights, To be free of physical, sexual, emotional, or other abuse, and from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature including, but not limited to, interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, or aids to physical functioning. If not corrected, it will have a direct and immediate risk to the health and safety of the children in care. Therefore, the above allegations are substantiated. The agency was cited, and a plan of correction was initiated. Appeal rights were provided and discussed with the Licensee. A copy of the report and the Confidential Name List (LIC811) dated February 26, 2026, was provided to the Licensee, and an exit interview was conducted.

Investigation Findings:
13On February 26, 2026, at 12:00PM, Licensing Program Analyst (LPA) Pedro Ramos conducted a follow-up inspection at the Short Term Residential Therapeutic Program, Dignity STRTP. During the visit, LPA met with the representative above to discuss the findings related to the complaint allegations. The purpose of the inspection was to deliver the results of the complaint investigation. The investigation included, but was not limited to, a review of facility records, video footage, and interviews with four staff members-S1 on 2/25/26, and S2, S3 on 9/8/25 and S4 on 9/5/25. Interviews were also conducted with 4 clients (C1,C2,) on 9/8/25 and C4 and C5 on 9/10/25 as well as ER CSW on 2/25/26. (Reference Confidential Names Form LIC 811, dated February 26, 2026). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Pedro Ramos 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: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 02/26/2026

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

met_with: Farrah Richmond, Administrator

complaint_status: SUBSTANTIATED


facility_name: DIMONDALE ADOLESCENT CARE FACILITY

raw_content:
Investigation Findings:
13Licensing Program Connie Jones-Steward investigated the above allegations. LPA spoke to staff who were in witness to the incident, to the CEO, the administrator and Client #1 (alleged victim). LPA was not able to make contact with the alleged assailant (Staff #1). Staff #1 was placed on leave and later resigned. She did not return phone calls to this LPA. LPA also received the outcome of Dimodale's internal investigation which concluded that the above allegations were more than likely true. Based on the available evidence, the abouve allegations were resolved as substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Alan Henry 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 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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITYFACILITY NUMBER: 198203822

met_with: Crystal Black


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward met with Ms. Kelly to verify that the home has working air conditiong. LPA observed working AC units in in each bedroom. LPA observed the temperature in the home to be at a cool level. Based on the observations made on August 24, 2022, the above allegation is substantiated. However based on the observations made today, the violation is corrected. SubstantiatedEstimated 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 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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITYFACILITY NUMBER: 198203822

met_with: Ms. Samone Kelly/administrator


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the above allegations. LPA interviewed C1, Staff, Social Worker and the victim of the alleged assault(resorce mother). The alleged attacker did not return phone calls. LPA received conflicting accounts. The parties that were interviewed either denied that it happened, insisted that it did happen or claimed to have not witnessed the fight if it did happen. There was no DCFS investigation of this allegation and no CAHL report. Based on the conflicting accounts, the allegations are 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

met_with: Crystal Black, Facility Manager


raw_content:
Narrative:
Incidents of minors being observed under the influence or having drug paraphernalia is documented on an Incident Report and minor's representatives or advised of incidents. 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 Facility Manager.

Investigation Findings:
13On August 3, 2023 10: AM, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at DIMONDALE ADOLESCENT CARE FACILITY -STRTP 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 relevant parties and gathered pertinent information in reference to the allegation. The Licensee denied the allegation and the alleged victim chose not to be interviewed. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine that the staff provided marijuana to minors in care. Records and confidential interviews were congruent that the staff utilized crisis communication techniques to discourage and redirect minors from smoking marijuana inside and outside of the facility. When minors are observed to be under the influence of marijuana, staff monitor client's behaviors to ensure health and safety and provide medical attention as needed. 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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITYFACILITY NUMBER: VISIT DATE: 08/03/2023

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

met_with: Facility Manager.


raw_content:
Narrative:
Based on the information obtained from confidential statements and documentary evidence, it was revealed that new staff had transported a resident to a dispensary. Confidential interviews determined that an incident report was not completed due to the incident being perceived to be a "teachable moment" training opportunity for the new staff member. Statements further reveal staff did not intentionally drive the minor to a smoke shop/dispensary, but rather, they went to an alternate location believing it was the approved destination of a 7-Eleven (convenience store). Once at the location, staff attempted to instruct minor to leave the location and requested the store staff to not sell anything to the minor due to their age. The investigation found that the incident occurred due to a miscommunication and a lack of understanding protocol by staff who were still in training. Confidential statements obtained further reveal denial that staff transport residents to obtain marijuana or allow residents to use marijuana/drugs in the facility. Statements obtained do not support reports of staff speaking inappropriately to either of the residents. Based on confidential interviews there is not enough evidence to support reported allegations that Staff contribute to the delinquency of minors, staff do not prevent minors from smoking in the facility, or that staff speaks inappropriately to a minor. Therefore, the allegations are deemed Unsubstantiated. There are no deficiencies per California Code of Regulations, Title 22, or Interim Licensing Standards (ILS) cited at this time. Exit interview completed. A copy of this report was provided to Facility Representative.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Raven Morrow, Area Manager (Facility Representative)


raw_content:
Investigation Findings:
13On June 4, 2025 at 1: PM, Kenrick Ellis, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of concluding a complaint Investigation. LPA met with Deanna McCollum, Supervisor. A health and safety assessment was conducted prior to entering facility. During the investigation, LPA conducted confidential interviews with three staff members, and three clients. LPA also reviewed Personnel Report (LIC500), client roster, and incident reports. Interviews did not produce evidence to support the allegation. Interviews with staff and clients revealed inconsistent statements, and no witnesses or evidence to suggest the allegation occured. Statements indicated that S1,S2 or S3 did not observe or find any illegal drugs in the above facility. Statements indicated that staff at the above facility interviene and redirect when contraband is found in the above facility. Statements indicated that issues centered around banned substances and contraband are discussed in multiple meetings with clients in care throughout the week. Multiple statements from Client (C1), Client (C2), and Client (C3) state that facility staff interviene when contraband is observed by staff in the above facility. There were no deficiences cited at this time. Exit Interview was conducted with Raven Morrow, Administator and Deanna McCollum, Supervisor and a copy of this report was emailed to the Administrator. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis 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: Deanna Mccollum, Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Rosslyn Gray, Zena Phillps, and Emelyn Sanchez P., on March 7, 2023 at 8:30AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Gray, Phillips, and Sanchez P. met with Crystal Black, Facility Supervisor and inspected the facility inside and out. LPAs reviewed #1 of child's records and #3 of staff personnel files on site at the facility. LPAs reviewed #1 of child's psychotropic medications and medication records. LPAs interviewed #3 of staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed #1 of the children currently prescribed psychotropic medication. LPAs provided a copy of this licensing reports to Crystal Black, Facility Supervisor. No deficiency were cited per Interim Licensing Standards for STRTP Version 4. An exit interview was conducted, and a copy of this report was left with Crystal Black, Facility Supervisor

met_with: Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the Facility Manager & Administrator to discuss the above incident 04-2023-34-CM-01 alleging inappropriate actions between a staff and clients.. Per Ms Kelly and Ms. Arkliss there was an internal investigation and Staff 1 was let go. The investigation is still ongoing to determine the extent of the inappropriate activities. Two of the clients were at work and don't get home until after 7: PM. The third client was unavailable due to talking with the DCFS ER investigator regarding this same incident. LPA Jones-Steward will contact Ms. Kelly next week to determine a time when the clients can be interviewed in the home

met_with: Cheryl Arkliss, Facility Manager/Samone Kelly


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the Facility Manager to interview clients regarding incident 04-2023-34-CM-01 alleging inappropriate actions between a staff and clients. LPA interviewed C2 on this date. C3 was previously interviewed. C1 awoled and her bed was closed on 04/18/23. LPA has yet to interview Staff #1.

met_with: Cheryl Arkliss, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Ms. Cheryl Arkliss to conduct the Annual/Random Inspection. The inspection began at 11: AM and the following was observed. The STRTP is housed in a three bedroom, two bathroom single family home located in a residential are of the City of Carson, CA. There are currently five clients in care. There are no security bars on windows. Smoke detectors and carbon monoxide detectors are working and placed in hallway and bedrooms. There are two fully charged fire extinguishers. The fire place is decorative only. Yard area is free of hazards. There are no bodies of water on the premises. Bedrooms have beds and linens in good condition and adequate storage space. Kitchen and bathroom fixtures are in working condition. There is an adequate supply of food. CARF certification is current. The last disaster drill was conducted on 05/20/23. The following are posted as required: License, Notice of personal rights, notice of employee rights, floor plan, menu and grievance procedures. LPA reviewed the staff files and client files. Interviews will be conducted at a later date. The facility was cited under ILS 87064 (b).

met_with: Samone Kelly, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2023 at 9: AM Licensing Program Analyst (LPA), Mercy Gago arrived at the above facility to interview collateral and child #1 for the purpose of conducting a Complaint Investigation Inspection pertaining to another licensed facility. LPA Gago met with Janeal Brent, Direct Support Professional. LPA interviewed Staff #1 and Staff #2 pertaining to complaint allegation. Child #1 is not available at this time and will be interviewed at a later date. Based on information received, further investigation is needed before a decision can be rendered. Exit interview was conducted with and a copy of this report was left at the facility.

met_with: Janel Brent


summary: Facility Evaluation

raw_content:
Narrative:
On July 12, 2023, at 2PM, Licensing Program Analyst (LPA), Rosslyn Gray arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA spoke with the Facility Manager Rashanda Stuart and a Health and Safety Assessment was conducted. On April 10, 2023, the department received information indicating that Staff #1 gave Child#1,Child #2 and Child #3 marijuana and alcohol on more than one occasion. The last incident occurred on April 5, 2023. LPA conducted interviews and obtained termination documentation for Staff #1 and the Incident Report. Further investigation is needed, and additional interviews will need to be conducted. There were no deficiencies cited at this time. A copy of this report was left with Facility Manager

met_with: Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 3, 2023, 10: AM (LPA) Licensing Program Analyst Rosslyn Gray made an unannounced follow up visit to DIMONDALE ADOLESCENT CARE FACILITY for the purpose of concluding a Case Management - Incident investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. On April 10, 2023, the department received information indicating that Staff #1 gave Child#1, Child #2 and Child #3 marijuana and alcohol on more than one occasion. The last incident occurred on April 5, 2023. During the investigation LPA Gray conducted interviews and reviewed facility reports. Incident was previously reported, investigated and facility was cited on May 26, 2023, as it was determined that S1 had inappropriate interactions with clients including the provision of illegal substances. LPA obtained documented evidence that S1 was terminated on April 10, 2023. There are no deficiencies cited at this time. Exit interview was conducted and a copy of this report was left at the facility with the Facility Manager.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward arrived at the facility in response to Incident 000502-FN. The visit was scheduled with Mr. Fleming and LPA was informed that administrator Nakia Powell would be available. However that was not the case. LPA was met by Direct Care Worker Ms. Brent. However, Ms. Brent did not have any info regarding theincident LPA will schedule a follow-up visit. t.

met_with: Janeal Brent, Direct Care Worker


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst Connie Jones-Steward arrived at the facility to conduct a case management visit regarding incident 0001126-FN. LPA met with the administrator and requested written statements from both the client and the staff involved in the incident. LPA collected the statement from the client. The staff person will prepare his statement and email it to the department. Ms. Powell will also email any write-ups that occurred due to the incident. Please submit requested documents by November 6, 2024.

met_with: Nakia Powell, Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Facility Supervisor Deanna McCollum to conduct the Required/2 year facility Inspection. The inspection began at 9: AM and the following was observed. The STRTP is housed in a three bedroom, two bathroom single family home located in a residential area of the City of Carson, CA. There are currently five clients in care. There are no security bars on windows. Smoke detectors and carbon monoxide detectors are working and placed in hallway and bedrooms. There are two fully charged fire extinguishers. Yard area is free of hazards. There are no bodies of water on the premises. Bedrooms have beds and linens in good condition and adequate storage space. Kitchen and bathroom fixtures are in working condition. There is an adequate supply of food. CARF certification is current. The last disaster drill was conducted on 01/15/ The following are posted as required: License, Notice of personal rights, notice of employee rights, floor plan, menu and grievance procedures. LPA reviewed 4 client files. However the facility supervisor did not have access to the staff files. Therefore staff files will be reviewed at a future date. Client and staff interviews will also be conducted at a future date The facility was cited under Children's Records: 87070(b)(8)(A), 87070(b)(12) and 87070(b)(13) and also under Modifications to Needs and Services Plans 87068.3(a)

Deficiencies:
87068.3(a): Modifications to The Needs And Services Plan

(a) The needs and services plan as described Sections 87068.2 and 87068.22, shall be updated at least every 30 days to determine the following

met_with: Deanna McCollum, Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Facility Manager Cheryl Arkliss to complete the investigation of the case management/incident report 04-2023-34-CM-01. During the course of the investigation it was determined that Staff #1 had inappropriate interactions with clients including the provision of illegal substances and inappropriate social media contacts. The licensee was cited under ILS Section 87072(c)(11) and asked to submit a Corrective Action Plan.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward arrived at the facility in response to Incident 000502-FN. The incident was previously investigated and a deficiency has been placed against the facility due to a staff showing up to work drunk, sleeping through his shift and placing the well-being of clients at risk. The management of Dimondale Adolescent Care Facility provided confirmation that the offending staff was terminated as a result of violating the agency's policy against arriving to work while intoxicated. Another staff who witnessed the incident, but did not report it was temporarily suspended and re-trained on the agency's crisis response guidelines. The facility was cited under 87065.2(b)(1) Personnel Duties.

met_with: Nakia Powell, Adminiistrator


facility_name: DIMONDALE ADOLESCENT CARE FACILITY #2

raw_content:
Narrative:
S3 said that they immediately informed SW and had a CFT to discuss how C1 obtained the phone from a relative. S2 said they did everything possible to keep clients from leaving the facility, but it is difficult because we can't hold them but, as soon as they leave the facility we followed protocol and the reports were made immediately to all agencies necessary. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has decided that the allegation of Neglect/Lack of Supervision is unsubstantiated but if any additional information is received this complaint can be amended and finding can be changed. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS). There were no deficiencies cited at this time. Exit interview was conducted and a copy of this report was left with the lead staff of the facility whose signature on this form confirm receipt of this document.

Investigation Findings:
13On October 1, 2021, at 11:30am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to the above facility for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA met with Facility Administrator Janina Holt who granted access to the facility and together discussed the investigation details. Based on the interviews conducted with all the pertinent parties the above allegation cannot be substantiated. Although the facility admitted that C1 and C AWOL from the facility there is not enough evidence that the facility did not tried to keep the clients safe. S2 said they followed the policies and intervention protocol by following clients into the community until they were out of sight. Facility staff immediately filed a missing person's report, and as a result, sheriffs were able to find C1 and C2. C2 said the facility does their best to supervise all clients in the facility and that is why C2 feels safe living in the facility. C2 confirmed leaving the facility with C1, and staff followed them until they were out of sight of the staff. During the interviews with the other clients of the facility, they also confirmed that they are always supervised by the facility staff and feel safe being in the facility. When the facility found out that C1 had a phone, they tried to ask C1 to give them the phone to which C1 refused. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 10/01/2021

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

met_with: Facility Administrator


raw_content:
Narrative:
PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS) 3. There were no deficiencies cited at this time. Exit interview was conducted and a copy of this report was left with the lead staff of the facility whose signature on this form confirm receipt of this document.

Investigation Findings:
13On October 1, 2021, at 11:30 am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to the above facility for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA met with Facility Administrator Janina Holt who granted access to the facility and together discussed the investigation details. Based on the interviews conducted with all the pertinent parties the above allegation cannot be substantiated. Interviews confirmed that S3 did not hit C1 and RP after thinking confirmed that C1 has lied in the past. CSW received the police report confirming that C1 was the aggressor. The Sheriffs interviewed both C2 and C3 in the car who tried to lie on behalf of C1, but once confronted, admitted that S3 did not hit C1. C1 was charged with battery. Staff notified Sherriff station that C1 could not be release to RP. S3 denied hitting any of the clients and staff confirmed that during that time of the incident S3 was in the office due to C1 wanted to hit S3. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has decided that the allegation of Personal Rights is unsubstantiated but if any additional information is received this complaint can be amended and findings can be changed. Continue on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 10/01/2021

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


raw_content:
Narrative:
PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 4, there are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report will be email due to technical difficulties with the LPA's printer

Investigation Findings:
13On February 11, 2022, at 10:30am Licensing Program Analyst (LPA) Enrique Hernandez arrived at the facility to deliver the findings of a complaint investigation. LPA Hernandez met with Wykena Black Facility Manager (FM) who granted access to the facility and Janina Holt Facility Administrator (FA) who was on the phone listening to findings of the complaint. LPA discussed the investigative findings on July 9, 2021, the Department received a complaint alleging Facility not meeting minor's medical needs. Confidential interviews revealed that the facility is attentive to the medical needs of all clients, although other confidential interviews said there were problems getting the referral in a timely manner for a client, due to issues with the hospital. During the investigation process, someone said that the facility did not do everything possible to obtain the referral earlier. Based on the confidential interviews conducted and file review the allegations cannot be substantiated, Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations are unsubstantiated, but if any additional information is received this complaint can be amended and findings can be changed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 02/11/2022

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

met_with: Facitlity Manager


raw_content:
Narrative:
Staff allow residents to smoke in the facility. Confidential interviews revealed that staff are always supervising clients and are vigilant that no one smokes on the facility. Some of the interviews revealed that when they smoke they do it when they leave the facility. Staff allow adults to sell drugs to the residents Confidential interviews indicated that staff do not allow adults to sell drugs to clients. In addition, Interviews revealed that clients are well supervised at the facility. LPA was unable to conduct additional interviews to obtain additional information about this allegation. Windows have been broken at the facility. Confidential interviews revealed that windows have been broken in the facility, but they were promptly repaired. Door locks are not secured. Confidential interviews revealed that the door locks are working and on one occasion one of the clients broke the front door, but the door was repaired that same day. Facility is out of ratio. Confidential interviews revealed that there are always enough staff at the facility, some clients feel they are being over-supervised. Some interviews don't feel that there is enough supervision. Management seeks retribution for staff who complain. Confidential interviews revealed that the facility does not seek retaliation against staff if they have a complaint. LPA was unable to conduct additional interviews to obtain more information about this allegation. Based on the confidential interviews conducted and file review the allegations cannot be substantiated, Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations are unsubstantiated, but if any additional information is received this complaint can be amended and findings can be changed. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 4, there are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report will be email due to technical difficulties with the LPA's printer

Investigation Findings:
13On February 11, 2022, at 10:30am Licensing Program Analyst (LPA) Enrique Hernandez arrived at the facility to deliver the findings of a complaint investigation. LPA Hernandez met with Wykena Black Facility Manager (FM) who granted access to the facility and Janina Holt Facility Administrator (FA) who was on the phone listening to findings of the complaint. LPA discussed the investigative findings On December 3, 2020, the Department received a complaint alleging Staff are falsifying records; Staff allow residents to smoke in the facility; Staff allow adults to sell drugs to the residents; Windows have been broken at the facility; Door locks are not secured; Facility is out of ratio; Management seeks retribution for staff who complain. Confidential interviews were conducted with 7 staff and 9 clients. The following information was obtained during the course of the investigation: Staff is falsifying records Confidential interviews indicated that they do not falsify records and when they review a Serious Incident Report (SIR's) the only thing that is corrected is the grammar of the report, but they do not change the story of whoever wrote the report. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez 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 31-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, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 02/11/2022


raw_content:
Investigation Findings:
13On January 19, 2023, Licensing Program Analyst (LPA) C. White conducted an unannounced visit to the above facility for the purpose of concluding the investigation and to deliver findings on the above allegation. LPA spoke with the Facility Supervisor, Wykena Black and discussed the findings. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Confidential interviews and records did not produce corroborating evidence to support the allegation. Staff stated they have no knowledge of any client being involved in recruiting other clients for CSEC activities, and if a client were to disclosed this information, trauma informed care would be utilized to address the behavior and a CFT meeting would be held. Additionally, LPA was informed Client #1 left the facility on 07/03/2022 and did not return. LPA was unable to obtain a statement from Client #1 as the client's whereabouts are unknown. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. No deficiencies cited. An exit interview was completed and a copy of this report was left with facility staff. 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

met_with: Wykena Black - Facility Supervisor


raw_content:
Narrative:
Records reviewed from facility and client file histories, related records from the Department of Children and Family Services, as well as confidential interviews of 5 out of 6 clients, staff members and collateral contacts, revealed the following: The facility staff check on the clients every fifteen minutes and conduct contraband searches. Confidential statements revealed some clients have smoked marijuana and used vape pens at the facility; however, specific details as to the source and by whom could not be determined. Statements obtained report denial of use of other drugs. The investigation revealed, when clients are caught by staff members, the staff members will confiscate the paraphernalia, monitor the clients, and the incident is documented and reported to CCL and the client's assigned CSW. Confidential statements obtained further revealed denial of clients being inappropriately touched by anyone at the facility and further deny witnessing inappropriate touching by anyone at the facility. Statements reported nonsexual touching amongst the clients when there is "horseplay" or display affection by hugging. Clients are not allowed to room share or room visit. If clients are caught in another client's room, the staff will instruct the client to exit the room and monitor until they exit the room. Based on gathered information obtained, the findings concerning neglect/lack of supervision is determined Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies cited per Short-Term Residential Therapeutic Program Interim Licensing Standards or California Code of Regulations, Title 22, at this time. Exit interview completed. A copy of this report was provided to the Facility Administrator.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Janina Holt, Administrator


raw_content:
Narrative:
LPA inspected the facility inside and out and there was no evidence of a pest infestation. LPA collected receipts for monthly pest control visits. There was no evidence that minors are not provided clean linen. LPA saw the linen closet filled with new linen. All clients beds had clean linen. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On August 22, 2023 at 12pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA met with Administrator, Janina Holt and was allowed into the facility. A risk and health assessment were conducted. During the investigation, interviews were conducted, and documents were obtained. The interviews did not produce corroborating evidence to support said allegation. Interviews revealed inconsistent statements and no witnesses to suggest allegation occurred. There was no evidence that staff spoke to minor in an inappropriate manner. Staff and clients interviewed all denied the allegation occurred. There was no evidence that the facility stove is in disrepair. All 4 burners and oven was checked at the time of the visit. Burners and stove was in good working condition. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin 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 31-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, FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 08/22/2023

met_with: Janina Holt-Administrator


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On December 5, 2023 at 1pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA met with Administrator, Dominique Dowell and was allowed into the facility. A risk and health assessment was conducted. During the investigation, interviews were conducted, and documents were obtained. The interviews did not produce corroborating evidence to support said allegation. Interviews revealed inconsistent statements and no witnesses to suggest allegation occurred. There was no evidence that facility did not prevent minors from engaging in a physical altercation. Interviews and incident report stated that staff intervened as soon as the fight ensued. For facility did not seek medical attention for minor, statements and incident report stated that the client refused medical attention. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin 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 31-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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 12/05/2023

met_with: Administrator-Dominique Dowell