raw_content:
Investigation Findings:
13This facility is closed. Licensing Program Analyst will send a copy of this report to the Chief Operating Officer Craig@delilu.org and will also cc: Operation's Manager at madeline.jones@delilu.org. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Based on confidential interviews and records obtained during the investigation process, the allegations could not be corroborated. Although the allegation may have happened or is valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegations facility did not provide food of the quality and quantity to meet the to meet the needs of the clients, facility did not provide care and supervision to meet the needs of the clients, and staff did not assist clients with medications as needed is determined to be unsubstantiated. 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 2

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


state: CA

facility_name: DIGNITY STRTP

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continue from page 1 . . . The staff denied the allegations and stated that the staff does room checks every 15 minutes and that the staff covers both floors in the facility. The staff stated that one staff is downstairs when minors are downstairs and another staff is upstairs when there are other minors upstairs. The staff stated that the staff intervenes when minor are having issues with each other and try to solve the issue by separating and listening to each minors information. The staff stated that the minor are redirected when having friction with each other, are given warnings for behavior and a special incident report is written after or when reported. The staff stated that the minors are redirected when horse playing around the facility and are given explanations to not do it. The confidential interviews revealed contradicting statements. There was information that a minor was hit on several occasions in his room and was thrown ice or shoes by other minors in the home, it was also reported that a minor was told by another minor not to come out of the room or would be hit. Other statements stated that the minor was not hit by another minor purposely physically and that the minors in the home sometimes horse play around. It was also reported that no items were thrown to the minor and that the minor was not threaten to be beaten. The confidential interviews revealed that the staff checks on the minor around the facility and that two staff split the floors when minors are on different floors in the home. It was also reported that the staff redirects the minors when the minor don't follow instructions or are having behaviors. The County Social Workers for the minors in questions were not available to give a statement. 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 July 11, 2024, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Jerry Philips, Lead Facility Manager. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed two youths and one staff on 06/11/24, LPA interviewed four minors on 06/14/24, LPA interviewed one staff via telephone on 07/03/24, LPA interviewed one staff via telephone on 07/08/24 and LPA interviewed two staff via telephone on 07/09/24 (see Confidential Names Form LIC 811 dated July 11, 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 does not prevent a minor from attacking another minor, Staff does not prevent a minor from throwing items at another minor and Staff does not prevent a minor from threatening and intimidating another minor. It was also alleged Staff did not properly report incidents involving a minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DIGNITY STRTPFACILITY NUMBER: VISIT DATE: 07/11/2024

report_type: Complaint Investigation

met_with: Jerry Philips, Lead Facility Manager

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

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


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

met_with: La Qeishia Hagans, Head Of Service


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: Facility Evaluation

raw_content:
Narrative:
On Thursday April 30, 2026, 9: AM, Licensing Program Analyst (LPA) Humberto Flores, conducted an unannounced Case Management Inspection at Dignity Short Term Residential Therapeutic Program (STRTP) and met with LaQeishia Hagans. The purpose of the inspection was to verify criminal record clearances of all the staff currently working at the STRTP. During the inspection LPA Flores verified in Licensing Information System (LIS), criminal record clearances that the California Code of Regulations, Title XXII, Division 6 requires: Department of Justice (DOJ), Federal Bureau of Investigation (FBI), and Child Abuse Central Index (CACI). All sixteen (16) employees that were searched in LIS have Department of Justice (DOJ), Federal Bureau of Investigation (FBI), and Child Abuse Central Index (CACI) clearances. No further inspection is needed. No citation was issued during the inspection. A copy of this report was provided to the STRTP representative. Exit interview.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Head of Services, LaQeishia Hagans


facility_name: DIMONDALE ADOLESCENT CARE FACILITY

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

complaint_status: SUBSTANTIATED


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


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

met_with: Facility Manager


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


facility_name: DIMONDALE ADOLESCENT CARE FACILITY #3

raw_content:
Investigation Findings:
13On December 15, 2021, Bernice Karnsrithong, Licensing Program Analyst (LPA) conducted a follow-up complaint inspection to the above facility and met with Case Manager. The purpose of the inspection was to deliver findings for the above complaint allegation. During the investigation of the allegation, LPA conducted confidential interviews and reviewed documentary evidences. Documentary evidences indicated that clients consumed alcohol while under the care and supervision of staff. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80078 (a) Responsibility for Providing Care and Supervision. Children in care consumed alcohol while in care that was provided by staff. (Continued on LIC 9099-D) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: 198204471

met_with: Case Manager


raw_content:
Investigation Findings:
13On May 18, 2021 at 9:30am, Bernice Karnsrithong, Licensing Program Analyst (LPA) arrived at the facility to deliver findings regarding the above complaint allegation. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Leroy Wise, Facility Administrator. During the investigation of the allegation, facility staff does not adequately supervise minors in care, LPA Karnsrithong conducted confidential interviews and reviewed documentary evidences. Statements were inconsistent and did not produce corroborating evidence to support that staff do not adequately supervise minors in care. Facility has emergency intervention strategies indicated on client's safety plan and is reviewed and updated regularly. Due to lack of evidence obtained during the investigation, LPA determines that the allegation are unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. Exit interview was conducted and a copy of this report will be provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Leroy Wise, Administrator


raw_content:
Investigation Findings:
13On 06/08/2022 at 2:45pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of delivering findings for the above complaint. Health and safety risk assessment were conducted upon arriving at the facility. During the investigation of the allegations, lack of supervision resulting in minor AWOLing, minor has access to drugs, minor engages in inappropriate online behavior, and staff does not ensure minor attends school; LPA Karnsrithong conducted confidential interviews and reviewed documentary evidences. Statements were inconsistent and did not produce corroborating evidence that staff lack supervision resulting in minor engaging in AWOL, inappropriate online behavior, drug access and school truancy. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. This complaint investigation is deemed unsubstantiated. There are no deficiencies cited at this time. Exit interview was conducted with Jamie Roberts, Facility Supervisor and a copy of this report will be provided to the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Jamie Roberts, Facility Supervisor


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
The investigation revealed on February 7, 2022, several non-resident female juveniles were able to enter the facility and physically assault C1. Documentary evidence and witness statements disclosed that the group of approximately 4 to 6 juvenile non-residents were able to gain entrance into the facility after rushing pass and shoving a staff member who was standing just outside the facility door in the driveway. The investigation showed that the facility staff member failed to lock the facility door behind them after exiting, which would have secured the clients inside. Based on all information obtained during the investigation, the preponderance of the evidence standard has been met. The Department has determined a lack of supervision contributed to the physical assault by juvenile non-residents on C1. The allegation is deemed substantiated at this time and thus, poses an immediate health, safety and personal rights risk of harm to children placed in care. The facility is issued a citation in accordance with the INTERIM LICENSING STANDARDS Short-Term Residential Therapeutic Program, Articles Through 10, 87078(a)(b) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION and California Health and Safety code section 1586.0822(c). An exit interview was conducted, and appeal rights were discussed. A copy of this report, the Confidential Names List, Civil Penalty Assessment and appeal rights were provided to Facility Representative. A copy of this report was emailed to Facility Administrator, Leroy Wise for signature. (Continued on page LIC9099-D)

Investigation Findings:
13On August 11, 2022 at 2: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection at DIMONDALE ADOLESCENT CARE FACILITY #3 to deliver findings concerning the above-mentioned allegations. LPA Martin met with Ashley Ross, Administrator to discuss the investigative outcome. The investigation was conducted by Investigator Dennis Douglas of the Community Care Licensing Division (CCLD) Investigations Bureau. On February 8, 2022, CCLD received complaint allegations concerning neglect/lack of supervision resulting in the injury of a facility Client as Client #1 (C1) (see LIC811, dated 8/11/2022) was reportedly assaulted by several non-resident juveniles while in care. On February 11, 2022, LPA Regina Martin, conducted the initial complaint inspection and obtained related documentation. Investigator Douglas completed the investigation which included, confidential interviews with related clients/residents, staff members, review of documented witness statements, review of related client file and incident reports, and review of the Hawthorne Police Department Incident Report. (Continued on page LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina 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 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 FACILITY #3FACILITY NUMBER: VISIT DATE: 08/11/2022

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

met_with: Ashley Ross, Administrator Interim Lyn Ayars, Program Director Leroy Wise, Administrator


raw_content:
Investigation Findings:
13On September 2, 2022 at 2: PM, Licensing Program Analysts (LPA) C. White conducted an unannounced visit to Dimondale Adolescent Care Facility #3 for the purpose of delivering findings on the above allegations. LPA met with Administrator Interim, Ashley Ross and discussed the complaint findings. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Staff confirmed they have been recycling the air filter and that the laundry room floorboard was recently replaced because it was unstable. Client interviews revealed the bedrooms are hot and that they had to be careful when doing laundry because of the floorboard. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5.Facility cited for violation of California Code of Regulations, Title Division 6, regulation 80088(a)(1) Fixtures, Furniture, Equipment and Supplies; and 80087(a) Buildings and Grounds. SubstantiatedEstimated 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 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 FACILITY #3FACILITY NUMBER: 198204471

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

met_with: Administrator Interim, Ashley Ross


raw_content:
Narrative:
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 December 16, 2022 at 10:45am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above allegations. LPA met with Facility Supervisor, Bobbie Travis, and was allowed into the facility. During the course of investigating the allegations for "Staff do not prevent a minor from harm while in care and staff do not prevent a minor from wandering", interviews were conducted. The interview did not produce corroborating evidence to support said allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence that "staff do not prevent a minor from harm while in care and staff do not preven a minor from wandering". Staff was able to articulate the AWOL procedures to LPA. 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 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 FACILITY #3FACILITY NUMBER: VISIT DATE: 12/16/2022

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

met_with: Bobbie Travis-Facility Supervisior


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward arrived at the facility at 2: PM to investigate the above allegations. LPA met with administratrator Shaundrea Menefield who assisted with the inspection. LPA noted that there was no air conditioning in the bedrooms. However, there were workmen there who were installing air conditioning in the living room area and the bedrooms. LPA Jones-Steward did see mold growing along the ceiling of the hallway bathroom. LPA also noticed a small strip of peeling paint on the wall of bedroom #2. LPA interviewed clients and staff who confirmed that there is no air conditioning in the bedrooms and that it gets very warm. The above allegations were substantiated and the facility was cited under Title Sections 80088(a) and 80087(a). 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 FACILITY #3FACILITY NUMBER: 198204471

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

met_with: Shaundrea Menefield, administrator


raw_content:
Narrative:
Information obtained revealed on November 21, 2022, during an outing to the beach, two residents allegedly stole alcohol from a retail store where two facility staff and residents stopped before going to the beach. Documentary evidence indicates residents consumed alcohol in the vehicle to and from the beach which went unnoticed by two staff members. Confidential statements revealed S1 drank alcohol with the youth at the beach. Statements also revealed that residents displayed signs of intoxication; however, Staff failed to notice a difference in behavior from intoxicated residents. Confidential statements and documentary evidence further revealed that on unspecified dates, between June 30, 2022 and February 14, 2023, S1 provided marijuana to residents in the form of a vape pen while at the facility. The investigation found that S1 would drink alcohol and smoke marijuana at the facility, sometimes with other residents. On February 13, 2023, evidence obtained reveals S1 engaging in a verbal altercation with a youth resident while at the facility in which S1 displays unprofessionalism when addressing the resident as "dumb" "stupid" "bitch" and telling the resident to "shut the fuck up." The investigation further revealed from confidential statements, photographs, and video, that staff demonstrate failure to provide adequate supervision. Video footage reviewed shows a facility staff member observed looking at youths and not attempting to stop or de-escalate a physical fight between two youth residents. Additionally, an unidentified individual is heard saying "Let them fight." Based on gathered information the preponderance of evidence standard has been met. The Department has determined substantiated findings that Facility staff contributed alcohol/marijuana to minors and that Staff failed to supervise residents which contributed to residents fighting, consuming alcohol, and marijuana. This poses an immediate health, safety, and personal rights risk to children in care. The facility is issued citations per INTERIM LICENSING STANDARDS Short-Term Residential Therapeutic Program, Articles Through Version 4; 87065. PERSONNEL DUTIES and PERSONAL RIGHTS. An exit interview was conducted, appeal rights were discussed, and a copy of this report, and appeal rights were provided to the Administrator. (Continued on page LIC9099-D)

Investigation Findings:
13On October 25, 2023 at 11: AM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Shaundrea Menefield, Facility Administrator, to discuss the investigative outcome. On March 23, 2023, Community Care Licensing Division (CCLD) received a complaint alleging that Staff #1 (S1) [See LIC811, dated 10/25/2023] provided youth residents with alcohol and marijuana and facility staff failed to supervise residents contributing to residents' fighting and consuming alcohol/marijuana. The investigation was referred to and conducted by Investigator Heidy Bendana of the CCLD Investigations Branch. On March 24, 2023, LPA Regina Martin conducted the initial complaint inspection, informed licensee receipt of the allegation, subsequent investigation and obtained requested related records. Further investigation including review of facility file history, review of related incident reports, review of staff file history, as well as confidential interviews with residents, staff members and review of related documentary proof, revealed enough evidence to support lack of supervision and conduct inimical. (Continued on page LIC 9099) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 10/25/2023

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

met_with: Shaundrea Menefield, Administrator


facility_name: DIMONDALE ADOLESCENT CARE FACILITY #4

raw_content:
Investigation Findings:
13On September 8, 2022 at 2: PM, Licensing Program Analysts (LPA) C. White conducted an unannounced visit to Dimondale Adolescent Care Facility #4 for the purpose of delivering findings on the above allegations. LPA met with Direct Care Staff, Rashanda Stuart, and discussed the complaint findings. During the course of this investigation, LPA interviewed pertinent parties. Staff confirmed the facility does not have an air conditioning throughout the home. Client interviews revealed the bedrooms are hot and the fans provided do not work to cool rooms down. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5. Facility cited for violation of California Code of Regulations, Title Division 6, regulation 80088(a)(1) Fixtures, Furniture, Equipment and Supplies; and 80087(a) Buildings and Grounds. SubstantiatedEstimated 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 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 FACILITY #4FACILITY NUMBER: 197804638

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

met_with: Direct Care Staff - Rashanda Stuart


raw_content:
Narrative:
Although it was reported that staff did not allow minor to use a doctor of their choosing, confidential interviews revealed minor did not ask or request staff to transport them to a medical facility of their choosing. Statements made during the interview process determined minor made the decision to be treated at a medical facility of their choice without assistance from staff. During the investigation, inconsistent statements did not corroborate the allegation, staff speaks to minors in an inappropriate manner. LPA was unable to corroborate and substantiate the allegations, Staff denied minors to access telephone and Facility phone is in disrepair. Consistent statements made during confidential interviews revealed the telephone located in the common area of the facility was inoperable for approximately (1) week. During the time the phone in the common area was inoperable, minors had access to use the facility cellphone, when available and make confidential calls using the telephone located in the staff office in compliance with the facility telephone policy. Although, it was reported that staff do not provide minor with adequate shoes and clothes. LPA was unable to corroborate the allegation. Confidential interviews and documentary evidence revealed that during minor's initial placement at the facility, minor was scheduled to go emergency clothing shopping, however, minor AWOL'd from the facility. During the period of 6/29/2023-7/21/2023, minor was AWOL'd from the facility on several occasions, therefore, staff was unable to take minor clothing shopping. Documentary evidence also revealed minor was taken shopping for clothes and shoes on 7/21/2023. LPA obtained Special Incident Reports (SIR's) and clothing receipts for minor. LPA was unable to corroborate the allegation, Staff do not provide minor with hygiene items. It was also reported that minor did not have access to the use of a razor for personal hygiene, however, confidential interviews and documentary evidence revealed safety concerns by staff regarding minor returning items required to be locked away, i.e., medication. Due to safety concerns of minor keeping the razor and not returning it when finished, minor was offered other alternatives for use in shaving. Inconsistent statements made revealed minor was provided a razor for use. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. LPA Edison was not able to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted and a copy of the report will be emailed to the Administrator.

Investigation Findings:
13On September 26, 2023 at 10:15am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Dimondale Adolescent Care Facility #4 and spoke with Samone Kelly, Administrator. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation LPA Edison interviewed and accounted for all available relevant parties and gathered pertinent information regarding the allegations. LPA Edison was unable to corroborate the allegations. Staff did not seek medical attention to minor in care, Staff did not allow minor to use doctor of minor's choice, Staff speaks to minors in an inappropriate manner, Staff denied minors to access telephone, Staff do not provide minor with adequate shoes and clothes, and Staff do not provide minor with hygiene items. Confidential interviews, consistent statements and documentary evidence revealed minor was treated at urgent care on the same day that minor reported needing medical treatment. LPA obtained a copy of minor's medical examination form dated 7/19/2023. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Daphne Edison LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #4FACILITY NUMBER: VISIT DATE: 09/26/2023

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

met_with: Samone Kelly-Administrator


raw_content:
Narrative:
Confidential statements revealed that former resident, Youth #1 (Y1) provided other youths access to illegal drugs (Percocet and marijuana) while in care at the facility (See LIC811, dated 10/13/2023). While there is not enough evidence to prove that youth were using ecstasy at the facility, statements obtained revealed Y1 would bring the drugs into the facility after a home visit with their biological parent. Youth #1 would also have the drugs delivered curbside at the facility by an unknown vehicle. Information further revealed the vehicle would pull up curbside in front of the facility, Y1 would walk outside the front door of the facility to the vehicle, take the drugs and place them on their person (in their clothing), Y1 would then walk inside the facility to their room and use the drugs. It was revealed staff's attempts to confiscate the drugs from Y1, Y1 would refuse consent and staff were unsuccessful. The investigation also revealed on other occasions Y1 would smoke marijuana in the back yard of the facility. Confidential statements revealed staffs were unable to confiscate the drugs and would routinely stand outside with the residents and watch them smoke marijuana. The staff would reportedly document the incidents. Based on the timeline of the events, record review and confidential interviews, the investigation determined substantiated findings that Y1 provided other minors access to illegal drugs (Percocet and marijuana) while in care. This poses an immediate health, safety, and personal rights risk of harm to children placed in care. The facility is issued a citation in accordance with the Interim Licensing Standards, Short-Term Residential Therapeutic Program, Articles Through Version 4; 87078(b) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION and BUILDINGS AND GROUNDS. [See page LIC9099-D for cited deficiencies]. An exit interview was conducted. A copy of this report, and appeal rights were provided to the Facility Representative. During the investigation confidential statements revealed that former resident, Youth #2 (Y2) resided at the facility from April 27. 2022 through March 7, 2023, at which time Y2 (AWOLed) left the facility without permission [See LIC811, dated, 10/13/23]. On February 17, 2023, Y2 informed their Social Worker of concerns they were having with their roommate and further informed facility staff. On February 19, 2023, Y2 was instructed by staff to write a statement of their concerns. On or around March 4, 2023, Y2 wrote a statement to staff requesting in part, a room change due to their complaints concerning their roommate (Y1). On March 7, 2023, Y2 left the facility after providing staff with the written statement and prior to staff completing the requested room change. Youth #1 (Y1) denies allegations of inappropriate sexual interactions. Confidential statements and documentary evidence determined no corroborating evidence or witnesses to the alleged; therefore, the findings alleging inappropriate interactions between youth, minor not feeling safe at the facility, minor leaving from facility without permission, staff not protecting minor from being bullied and staff not providing a safe and comfortable environment for minor in care are deemed Unsubstantiated; meaning that, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. Exit interview conducted. A copy of the report is left with Facility Representative.

Investigation Findings:
13On October 13, 2023, at 2: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegation. LPA Martin met with Facility Representative Gabrielle Grayson, Facility Therapist, and further spoke to Rashanda Stuart, Facility Supervisor via telephone to discuss the investigative outcome. The investigation was conducted by Community Care Licensing (CCL) Investigations Branch, Investigator Dennis Seng. On March 13, 2023, CCL received a complaint allegation concerning neglect/lack of supervision as minors are reportedly having access to illegal drugs (Percocet and ecstasy) while in care. The investigation included review of facility file history, confidential interviews and contacts with facility residents, staff members, Administrator, and other related parties. (Continued on page LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #4FACILITY NUMBER: VISIT DATE: 10/13/2023

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

met_with: Gabrielle Grayson, Therapist Rashanda Stuart, Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On July 21, 2021 at 3: PM Licensing Program Analyst (LPA) Regina Martin initiated a Case Management - Incident investigation at Dimondale Adolescent Care Facility #4 and met with Salina Hysaw, Direct Care Worker. The purpose of this inspection was to inform Licensee of investigation currently ongoing regarding self reported incident, SIR #763148. This case has been referred to Community Care Licensing, Investigations Bureau, Investigator Edward Hector. During this inspection, LPA Martin requested and obtained Client Rosters and Personnel Schedules (LIC 500). Other documents requested to be emailed to LPA Martin at - regina.martin@dss.ca.gov include the following: Client #1 and Client #2's: Needs and Service Plan, Placement Agreement, Child and Family Team (CFT) Planning Matrix, and "Facility Logger" (Staff Communication Log) for the week of July 4, 2021. [see LIC811 dated 7/21/2021] Please submit information by end of business July 22, 2021. Also during this visit, LPA Martin further conducted a walk-through inspection of the facility together with Ms. Hysaw. There were no deficiencies issued per California Code of Regulations during this inspection. Due to limited information currently, the Case Management - Incident requires further investigation. Upon conclusion, LPA will return to deliver and discuss the findings. A copy of this report will be emailed to Facility Representative Salina Hysaw, Ashlee English, Facility Supervisor and Kevin Chan, Facility Administrator.

met_with: Salina Hysaw