raw_content:
Narrative:
continued from LIC During document research, there was no evidence of any other unauthorized visitors for (C1). Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff allow unauthorized visitors in the home. Therefore, the above allegation is UNSUBSTANTIATED On the allegation of staff allow minors to drink in the home: Based on confidential interviews of staff and clients, all staff and all clients stated that consuming/possessing alcohol is prohibited on or around the facility. Conflicting information was provided stating that some clients drink in the yard and staff confiscate alcohol immediately. Other clients state that they have never seen consumption or possession of alcohol in the facility. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff allow minors to drink in the home. Therefore, the above allegation is UNSUBSTANTIATED. On the allegation of staff allow minor to sell marijuana: During confidential interviews, conflicting information was provided. Staff and clients stated that possession and sales of marijuana are prohibited at the facility. Staff state if they see marijuana, it will be confiscated. One client stated that she has never seen marijuana at this facility. Another client stated that she brought marijuana in the facility without the knowledge of staff. Document research shows that there is no evidence that staff allow minors to sell marijuana or paraphernalia of sales such as cash, baggies, or scales found. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that staff allow minor to sell marijuana. Therefore, the above allegation is UNSUBSTANTIATED An exit interview was conducted, and a copy of this report was provided to Tonya Lashley, Facility Manager, whose signature confirms its receipt.

Investigation Findings:
13On 11-30-22 1: PM, Licensing Program Analysts (LPA) George Karkazis conducted a complaint investigation with Millie's Youth Services and met with Tonya Lashley, Facility Manager. The purpose of this inspection was to deliver the findings for the above complaint allegations. The complaint was taken by Community Care Licensing's (CCL's) Investigative Branch (IB) and assigned to investigator Melissa Weaver. On the allegation of staff allow unauthorized visitors in the home: During confidential interviews, staff (S1), see LIC Confidential Names dated 9-2-22, stated that the client's representative authorized a visit from an unspecified male friend. The client's representative specified that the client (C1) could have one visitor once per month, for one hour. Upon the friend's arrival, staff (S3) took a photo of the visitor's identification. (S3) noticed that the visitor was not age appropriate, immediately reported to (S1), still allowed the visit to occur as there was nothing stating that it was not approved. (S3) supervised the visit, which took place in the backyard, and ensured conversations were appropriate. The visitor left after one hour as directed. continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: George Karkazis 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: MILLIE'S YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 11/30/2022

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

met_with: Tonya Lashley, Facility Manager


state: CA

facility_name: MILLIE'S YOUTH SERVICES

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
continued from Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that staff allow minors in care to be sexually exploited. Therefore, the above allegation is UNSUBSTANTIATED. An exit interview was provided and a copy of this report was given to Tonya Lashley, Facility Manager..

Investigation Findings:
13On 12-8-22 11: Am Licensing Program Analyst (LPA) George Karkazis made an unannounced inspection to Millie's Youth Services and met with Tonya Lashley, Facility Manager. The purpose of inspection was to deliver the findings for the above allegation. The investigation was assigned to Community Care Licensing (CCL) Investigation Branch (IB), Investigator Melissa Weaver. During the course of the investigation, (IB) conducted interviews with staff members, clients, witnesses, and authorized representatives. Interviews revealed inconsistencies if (C1), accepted money for sex through a phone app.(Please see LIC 811, dated DATE, for confidential names) In addition, (IB) obtained copies of shift notes, in and out logs, and client authorized visitor lists. On 8/13/22, (C1) had an approved visitor who was 21 years of age. However, the facility did not become aware until the visitor arrived and identification was requested. The visit was supervised by staff to ensure appropriate conversation and activity. The visitor was asked to leave after one hour. Continued on 9099-c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: George Karkazis 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: MILLIE'S YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 12/08/2022

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
continued from LIC Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that a minor is abused while in care. Therefore, the allegation is UNSUBSTANTIATED. Regarding the allegation of minor is being threatened while in care: During the course of the investigation, LPA Karkazis conducted confidential interviews and document research. LPA conducted document research in needs and service plans, sign in/out logs, shift notes, and incident reports. There was no mention, no evidence that minor was threatened in care. LPA conducted confidential interviews with staff, clients, and client representatives. All staff interviewed stated that no minors were threatened in care. Client interviews were inconsistent. Client representatives stated that the client lies frequently, and makes up stories to get even with people, when clients don't get their way. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that a minor was threatened in care. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was given to Tonya Lashley, Facility Administrator.

Investigation Findings:
13This is an amended report 5-3-23 1:20PM. LPA Karkazis marked the original report 4-28- CONFIDENTIAL, which has now been changed to PUBLIC. On 4-28-23 11:14AM, Licensing Program Analyst (LPA) George Karkazis conducted an unannounced inspection at Millie's Youth Services to deliver the complaint findings. LPA Karkazis met with Tonya Lashley Facility Administrator, who helped with the inspection. Regarding the allegation of minor is abused while in care: During the course of the investigation, LPA Karkazis conducted confidential interviews and document research. LPA conducted document research in needs and service plans, sign in/out logs, shift notes, and incident reports. There was no mention, no evidence that minor was abused in care. LPA conducted confidential interviews with staff, clients, and client representatives. All staff interviewed stated that no minors were abused in care. Client interviews were inconsistent. Client representatives stated that the client lies frequently, and makes up stories to get even with people, when clients do not get their way. continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Diego LICENSING EVALUATOR NAME: George Karkazis 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 14-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CENTRAL COAST SC/RES, TRAEGER AVE., SUITE FACILITY NAME: MILLIE'S YOUTH SERVICESFACILITY NUMBER: VISIT DATE: 04/28/2023

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

met_with: Tonya Lashley, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Christopher Rollins conducted an unannounced annual inspection. During the inspection, LPA met with Jasmine Remson, Facility Manager (FM) and inspect the facility inside and out. LPA reviewed files with Facility Manager. The group home is licensed to served 6 clients ages 12-17 and non minor dependents. Present during the inspection was 2 staff. At 10: AM LPA Rollins and Facility Manager did walk through of the facility inside and out. The kitchen is clean. The water measured 114.6 degrees F which is currently between 105 - 120 degrees. The facility has plenty of nonperishable and perishable food supply. Medication and Knives are locked away. There are enough folks, spoons, plates and cups. All passageways are unobstructed. All smoke detectors are update and working. The home is clean, safe, and sanitary. There are no firearms on the property. The fire extinguisher has been checked and is up to date. First aid kit is complete and fully stock. There are no bodies of water on the property. LPA observed clients' medication log to be up to date. At 12: PM, LPA Rollins conducted a file review with Facility Manager. LPA reviewed 5 clients files and Staff files were reviewed. LPA observed all five client files and found no deficiencies. The documentation in the clients file are complete. LPA observed all staff files to be complete, all correct documentation and all staff were up to date with there 40 hours of training for the year. The facility consists of 3 bedrooms (3 for clients), 1 shared bathrooms and 1/2 bathroom (No Shower). The facility is licensed for 6 residents (all can be non-ambulatory) and currently 4 clients reside in facility. No more than two clients share a bedroom. During inspection, LPA requested a updated copy of the LIC Personnel Report to maintain their file current. LPA also spoke with Administrator, Facility Manager and Program Manager about the conversation from Group Home to Short Term Residentail Therapeutic Program (STRTP).A review of Licensing Information System on June 15, 2021 indicates that all facility staff associated to the facility had DOJ, FBI and child abuse index check clearances. Per Title Regulations, no deficiencies were cited during this inspection. Exit interview conducted and a copy of the report was left at the facility.

report_type: Facility Evaluation

visit_type: Annual

met_with: Jasmine Remson- Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Vaishali Singh-Sood made an unannounced health and safety inspection on 3/18/2022 to the above listed facility and met with Tanya Lashley, Administrator at 11: AM. This agency serves as a Short Term Residential Treatment Program (STRTP). LPA explained that the purpose of the inspection was to conduct a health and safety check due to a recent incident with a client. During the course of the inspection, LPA Singh-Sood requested for copies of the involved client's file (assessment, needs and services plan, admission paperwork, case plan, incident reports, and medication list), AWOL log for client, copy of the staff schedule, and staff training tracker logs. Further investigation is required, no deficiencies were cited at this time. Exit interview was conducted and a copy of this report was emailed to Ms. Lashley at 1: PM .

visit_type: Case Management

met_with: Tanya Lashley


facility_name: MINDFUL GROWTH FOUNDATION

raw_content:
Narrative:
It was reported to LPA Phillips during confidential interviews wanting to make sure facility incidents are being reported to administrator. Based on LPA Phillips investigation the incident was reported as required and internal investigation was conducted by Administrator. It was reported to LPA that two staff were present during the incident and deny that staff threatened to harm resident. It was reported to LPA Phillips that staff was overheard through a door making threats during a time that lots of noise such as crying and banging was going on. It was unclear how staff may have been overheard talking through a closed office door. Based on the interviews conducted and documents obtained, the above allegation is found to be unsubstantiated, meaning that although the allegation. may have happened or are valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. No deficiencies cited at the time of this investigation. Exit interview was conducted, and copy of the report will be emailed to administrator

Investigation Findings:
13On December 21, 2022 at 1: PM Licensing Program Analyst (LPA), Zena Phillips conducted a follow-up complaint investigation visit to MINDFUL GROWTH FOUNDATION and met with Fannie Linnear/Facility Manager who granted access to the faciity. The purpose of the visit was to deliver findings for the complaint allegation. During the investigation of the allegation: Staff threatened minor in care. LPA Phillips conducted ten (10) confidential interviews, reviewed the following documentarty evidence: Staff files, training logs, CFTM notes, NSP and SIRs. All staff denied that Staff #4 threatned resident in care. It was reported to LPA Phillips that resident was allowed space and time to calm self due to having a tough day. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: VISIT DATE: 12/21/2022

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

met_with: Fannie Linnear/ Facility Manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13Licensing Program Analysct Connie Jones-Steward investigated the allegation the facilty alllowed staff to work without proper clearance. LPA spoke to S6 and S7. LPA also compared the LIC 500 for May 2024 to Guardian database and clearance letters from the Criminal Background Clearance Bureau. LPA concluded from the documentation that S3 began work at the Mindful Growth Chesley prior to her background clearance being transferred in order for her to do so. Therefore the allegation is substantiated and the facility is cited under Title 22 80019(e)(4). A substantiated finding means that there is a preponderance of evidenced that the allegations is true. 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 EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: 198209759

met_with: Janet Browder, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On April 26, 2022 at 9:20am, Licensing Program Analysts (LPA) Daphne Edison and Kuliema Calloway along with Associate Governmental Program Analyst (AGPA) Reiko Jones and Licensing Program Manager (LPM) Lakescia Smith arrived at Mindful Growth Foundation for the purpose of conducting a Pre-Licensing Inspection Visit. LPA's, AGPA, and LPM met with Sherlyn Johnson, Administrator who granted access into the facility and together a tour was conducted. The facility will provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is zero (0). The facility is a two story home located in a residential neighborhood and it is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, loveseat, and television. All furniture is in good repair. Kitchen: Equipped with a 5-burner gas stove and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Continued on LIC 809-C First Floor Bedroom #1: Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Office: Equipped with desk. Therapist Room: Utilized for therapy sessions with a connected office for therapist use. Laundry Area: Equipped with a washer and dryer. Basement: Equipped with a water heater and a deep freezer for extra food storage. Second Floor Bedroom #2: Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. Bedroom #3: Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #2 (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Multi-Purpose Room: Equipped with a chair. Pending set-up. Backyard: Has no debris or hazardous materials. Detached two-car garage used for storage. Continued on LIC 809-C The living room and dining room furniture was in good repair. The kitchen trash can is covered with a lid. The facility was observed to have a one week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair and clean linens and bedding. All sharp knives and medicines must be kept locked in the staff office and made inaccessible to clients in care. All disinfectants/cleaning solutions will be kept in a locked closet in the laundry room and made inaccessible to the children. The hot water was tested, and the temperature was found to be within a safe range. All prescribed medications must be centrally stored in a locked cabinet in the staff office and made only accessible to staff. The first aid kit was checked and found to be missing the first aid manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) regulation fire extinguishers fully charged. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. Foster youth bill of rights and grievance procedures were posted. Caregiver(s)/adults working/residing in the home must have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Plan was posted. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. The home will operate within the capacity and limitations of the license. The following must be corrected: Set up staff multi-purpose room Bedroom #1 - move bed to avoid blocking window with safety device. Clean walls due to stains Wall panel missing and must be replaced in downstairs hallway. Carpet on stairs must be cleaned. LPA observed cameras in home but was informed cameras will not be utilized Therapy room and therapist office has not been set up. Door crack needs to be sealed in therapy room. Damaged tent must be removed from the rear of garage. Knob on dryer needs to be replaced Landline telephone service must be set up Enclosed veranda must be free and clear Bedroom #3 walls need to cleaned and hole must be patched/repaired Bedroom #2 need to move bed from blocking safety release device in front of window. Walls to be painted throughout the home. Perishable food will be supplied prior to resident move-in LPA advised Administrator that a LIC 9182 and a photocopy of driver license for all staff must be submitted to associate staff to the facility. LPA advised Administrator that binders must be set up for staff/client files. Administrator advised LPA a new facility vehicle will be purchased to transport clients. LPA will conduct a follow-up visit to the home within two (2) weeks. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.

visit_type: Prelicensing

met_with: Sherlyn Johnson-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 16, 2022 at 8:56am, Licensing Program Analysts (LPA) Daphne Edison and Kuliema Calloway arrived at Mindful Growth Foundation for the purpose of conducting a follow-up Pre-Licensing Inspection Visit which took place on April 26, 2022. LPA's met with Sherlyn Johnson, Administrator who granted access into the facility and together a tour was conducted. The facility will provide care and supervision to six (6) male children, ages 12-21 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is zero (0). The facility is a two story home located in a residential neighborhood and it is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. LPA's completed a walk through to address concerns from previous inspection which took place on April 26, 2022. The following corrections have been made: · Staff Multi-Purpose Room has been set up for staff use · Bedroom #1 - bed has been moved and is no longer blocking window with safety release device · Wall panel has been replaced in downstairs hallway. Carpet on stairs has been cleaned. Walls have been painted/cleaned and no longer have stains Continued on LIC 809-C · Cameras in facility are not operational and will not be used · Therapy room and therapist office have been set up and ready for use. Door crack has been sealed in therapy room · Damaged tent has been removed from the rear of the garage · Knob on dryer has been replaced · Enclosed veranda is now free and clear from food items and all debris and hazardous materials · Bedroom #3 walls have been cleaned/painted. Hole in wall has been patched/repaired · Bedroom #2 bed has been moved from blocking safety release device in front of window · Walls have been painted throughout the facility · Perishable food will be supplied prior to resident move-in · Binders have been set up for staff/client files · All staff have been associated to the facility · Facility vehicle used to transport clients is currently registered with valid insurance and in good repair. Administrator stated and provided email confirmation to LPA that a service appointment for Spectrum to repair the land line telephone is scheduled for 5/17/2022. Administrator stated will contact LPA and provide land line telephone number once the service appointment is complete. Continued on LIC 809-C According to ILS Version 4 for STRTP's, it states the following: Fixtures, Furniture, Equipment, and Supplies (e) The following facilities shall maintain a signal system which meets the requirements specified in (e) and (f) below. Such system shall be used by children to summon staff during an emergency: (2) All facilities having separate floors and not providing full-time staff on each floor whenever children are present. Mindful Growth Foundation will not install a signal system on the second floor and acknowledges they must always maintain a staff on the 1st and 2nd floor when children are present. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On August 2, 2022 at 8:17am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting a Post-Licensing Inspection Visit. LPA met with Fannie Linnear, Facility Manager who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, love seat, and television. All furniture is in good repair. Kitchen: Equipped with a five (5) burner gas stove, microwave oven and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Bedroom #1: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Continued on LIC 809-C Staff Office: Equipped with desk, chair and file storage for staff and client files. Therapist Room: Utilized for therapy sessions with a connected office for therapist use. Equipped with a desk and sofa. Laundry Area: Equipped with a washer and dryer in operable condition. Basement: Equipped with a water heater and a deep freezer for extra food storage. Second Floor Bedroom #2: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. Bedroom #3: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. Bathroom #2: (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff Multi-Purpose Room: Equipped with a desk, table, and chair. Detached Garage: Used for storage. Backyard: Has no debris or hazardous materials. Detached two car garage used for storage. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in the staff office and made inaccessible to clients in care. Staff and client records are kept locked in the staff office. Continued on LIC 809-C There are no weapons located in the home. Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. LPA will review staff and client records and conduct staff and client interviews on a later date. Children in care are supervised and protected at all times. Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.

met_with: Fannie Linnear-Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On August 4, 2022 at 8:08am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting a Case Management for a Post-Licensing Inspection Visit which took place on August 2, 2022. LPA met with Jasmine Sampson, Executive Director who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, staff office, a basement, a laundry area, therapist room/office combination, staff multi-purpose room, a detached two (2) car garage, and a backyard. LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one-week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in the staff office and made inaccessible to clients in care. There are no weapons located in the home Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. During this visit, LPA conducted three (3) client interviews and reviewed six (6) client records which contained copies Medical Authorizations signed by each child and their authorized representative. Children in care are supervised and protected at all times. Continued on LIC 809-C Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. Children have only been in placement for one (1) week, therefore the Needs and Services Plan has not been completed on the day of this inspection. LPA observed and reviewed copies of Personal Rights and authorized representatives signed by each child in placement. LPA also observed and reviewed signed admission agreements for all children by the placement agency. During this visit, LPA reviewed four (4) staff records and conducted three (3) staff interviews. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.

met_with: Jasmine Sampson-Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On March 14, 2023 at 9:33am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting an Annual Required Inspection. LPA met with Fannie Linnear, Facility Manager who granted access into the facility and together a tour was conducted. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, two (2) staff offices, a basement, a laundry area, staff/therapy multi-purpose room, a detached two (2) car garage, and a backyard. First Floor Living Room: Equipped with a sofa, love seat, and television. All furniture is in good repair. Kitchen: Equipped with a four (4) burner gas stove, microwave oven and a refrigerator/freezer. Dining Room: Equipped with a table and seating for six (6) people. All furniture is in good repair. Bedroom #1: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. All furniture is in good repair. Bathroom #1: Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Continued on LIC 809-C Staff Office#1: Equipped with desk, chair and file storage for staff and client files. Staff Office #2: Equipped with a desk, chair, and sofa. Laundry Area: Equipped with a washer and dryer in operable condition. Basement: Equipped with a water heater, storage cabinet with cleaning supplies and a deep freezer for extra food storage. Second Floor Bedroom #2: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. This bedroom shares a Jack and Jill bathroom with Bedroom #3. Window safety release device is operable. All furniture is in good repair. Bedroom #3: Occupied. Equipped with two (2) twin sized beds with adequate storage and closet space. Window safety release device is operable. All furniture is in good repair. Bathroom #2: (Jack/Jill Style): Equipped with a bathtub/shower combination, a toilet, and a sink. Clean and in operable condition. Staff/Therapy Multi-Purpose Room: Equipped with two (2) tables, six (6) chairs and a television. All furniture is in good repair. Detached Garage: Equipped with a deep freezer for extra food storage and utilized for storage. Backyard: Has no debris or hazardous materials. Detached two-car garage used for storage. LPA observed the facility to have adequate indoor and outdoor activity space. The front and backyards were inspected and found to be clean and free of debris and observable hazards. Continued on LIC 809-C LPA observed the home to be clean, safe, sanitary and in good repair. Passageways, stairways, inclines, ramps, and open porches are unobstructed. The facility was observed to have a one-week supply of non-perishable food items. All bedrooms were observed to have adequate lighting, mattresses in good repair with clean linens and bedding. Disinfectants, cleaning solutions, and poisons items are kept in a locked closet in the laundry room and made inaccessible to clients. All sharp knives and medicines are kept locked in Staff Office #1 and made inaccessible to clients in care. Client records are kept locked in Staff Office #1. There are no weapons located in the home. Hot water was tested, and the temperature was found to be within a safe range. First Aid kit is complete with scissors, tweezers, thermometer, and First Aid Manual. Smoke detectors and carbon monoxide detectors tested audible and were in appropriate working order. The facility has four (4) fully charged regulation fire extinguishers. During this visit, LPA reviewed six (6) client records which contained copies Medical Authorizations signed by each child and their authorized representative. Children in care are supervised and protected. Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. LPA will review staff records and conduct staff and client interviews on a later date. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. Emergency Mass Disaster Casualty Plan was available for review. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements have been met. The home is operating within the capacity and limitations of the license. LPA provided facility with four (4) pocket-sized Foster Youth Bill of Rights in English and Spanish. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On March 21, 2023 at 9:16am, Licensing Program Analyst (LPA) Daphne Edison arrived at Mindful Growth Foundation for the purpose of conducting a Case Management for an Annual Required Inspection which took place on March 14, 2023. LPA met with Fannie Linnear, Facility Manager who granted access into the facility. The facility is licensed to provide care and supervision to six (6) male children, ages 12-17 years, ambulatory only. The facility will also provide services to non-minor dependents pursuant to W & I code 16501.1 (C) (1). The census on this day is six (6). The facility is a two story home located in a residential neighborhood and is set up as follows: Three (3) bedrooms, two (2) bathrooms, a living room, a dining room, kitchen, two (2) staff offices, a basement, a laundry area, staff/therapy multi-purpose room, a detached two (2) car garage, and a backyard. During this visit, LPA conducted four (4) client interviews. Children in care are supervised and protected. Children are accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported that children attend school, extracurricular, cultural, and personal enrichment activities. During this visit, LPA reviewed five (5) staff files and conducted two (2) staff interviews. Caregiver(s)/adults working/residing in the home have DOJ/FBI criminal record clearances and Child Abuse Index Checks. All posting requirements have been met. The home is operating within the capacity and limitations of the license. LPA advised licensee of routine carpet cleaning of stairs. Continued on LIC 809-D Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted, and a copy of this report will be emailed to the Administrator.


raw_content:
Investigation Findings:
13On March 20, at 10:15 am, Licensing Program Analyst (LPA) Kenrick Ellis made an unannounced complaint inspection to the above facility for the purpose of concluding the investigation of the above allegation and deliver the findings. LPA met with Janet Browder,Facility Manager and discussed the investigative findings. During the investigation (LPA) Kenrick Ellis conducted multiple client and staff interviews. LPA obtained the facilities LIC500, and client roster. LPA conducted a facility walk through to observe food quality and quantity. LPA conducted bathroom inspections to observe operable conditions. Interviews conducted could not determine the validity of the allegations. Multiple statements indicated that staff prevent and provide supervision to minors in care, and prevent minors from assualting each other. Multiple statements and LPA observations indicate that sufficient food is available in the above facility. Inconsistent statements indicated that sufficient food is unavailable for minors in care. Multiple statements and LPA observations indicate that youth are provided adequate restroom accommodations. Although the allegation 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. No deficiencies are being cited at this time. Exit Interview conducted, and a copy of this report was left at the facility. 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:


facility_name: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSE

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with CEO Jenero Jefferson to conduct the prelicensing evaluation. The following was observed. This is a three bedroom, two bathroom single-family residence located in a residential area of The City of Los Angeles. There are currently no children in placement. There is a room set aside for visitations and meetings. This room currently has no furniture Each bedroom has two twin beds in good condition. The bedroom windows are operational and there are no security bars on them. There is no swimming pool or other body of standing water. There is a gas fireplace that is decorative only. There is a locked area for medication storage. There are working smoke detectors in each bedroom and a carbon monoxide detector in the hallway. LPA Jones-Steward observed three fully charged fire extinguishers in the home. The backyard is free of hazards, The outside storage area was checked. .In the kitchen area there is a dining table with adequate seating for six clients and there are adequate dishes and towels to serve a capacity of six. The following items require correction prior to licensure: 1. Have gas, Internet and telephone service hooked up. 2. Hang shower curtains in the bathroom areas. 3. Obtain a thermometer for the 1st aid kit. 4. Place household chemicals in a locked area Obtain a locked box for refrigerated medicines LPA will return at a scheduled time to verify corrections of the above items.

met_with: Jenero Jefferson, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst Connie Jones-Steward made a follow-up to the pre-licensing inspection to verify that the necessary corrections were made. The following items were corrected: 1.The Internet, gas and telephone service have been connected. 2. There are shower curtains hung in each bathroom. 3.There is a complete supply of first aid items. 4. Household cleaners are stored in a locked closet. There is a locked box for refrigerated medication storage, At this time the facility meets the physical plant requirements of Title 22.

met_with: Jenero Jefferson


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward & Licensing Program Manager Lakescia Smith met with CEO Jenero Jefferson and Executive Director Jasmine Sampson to discuss the status of pending licenses. The following were discussed: The Department requires new board resolutions for the administrator changes/assignments for all pending applications. Board of Director Statements Gramercy location Change of name for one facility. There were two facilities with the same name. The need for criminal background clearances for Jenero Jefferson and Thomas Washington for 75th St. Submit STRTP ILS Version Revisions following updated plan of operation and program statement template. Make sure documents are properly aligned. Update control of property for 75th St. location. Submit nee LIC 200's for the three pending applications. Updated resume and LIC 501 for Thomas Washington. New LIC 508 for Grace Dixon at 3rd Ave & Sherlyn Johnson for Gramercy. Community Care Licensing was advised that all corrections and revisions will be submitted by October 7th, 2024.

met_with: Jenero Jefferson, Jasmine Sampson


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2025, at 9: AM Licensing Program Analyst (LPA) Erika Butler, and Licensing Program Manager (LPM) JoAunne' Griffin arrived at Mindful Growth Foundation for the purpose of conducting a Post-Licensing Inspection. LPA's and LPM met with Garrin Davis, Chief of Operations, who granted access to the home and together a tour of the interior and exterior home was conducted. Currently there are no children placed in the home. The home is set up as follows: This is a 3 bedroom, 2 bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, attached office with bathroom and closet, and detached room not currently used. Living room: is equipped with sofa and two oversized chairs. Dining room: is equipped with one table and four chairs. Kitchen: is equipped with a refrigerator/freezer, four (4) burner gas stove (all burners were operational at the time of the inspection) and table and bench. Refrigerated medication will be stored in small refrigerator. Sharp knives will be stored in kitchen cabinet. The applicant will ensure that three (3) nutritious meals and snacks will be provided to the clients. Laundry area: is equipped with washer and dryer. Backyard: Observed to be free of debris and hazards. Report continued on LIC 809C Page 1 of Attached Office: Equipped with closet and bathroom. Bedroom #1: Clients bedroom has one (1) twin bed frame, storage space, a closet, working light, and windows. Bedroom #2: Clients bedroom has two (2) twin size beds, storage space, a closet, working light, and windows. A hole is in the closet due to central air and heat being installed in the home. Bedroom #3: Clients bedroom has two twin size beds, storage space, a closet, working light, and windows. Air duct material is exposed in closet. Bathrooms: Bathroom 1 toilet is clogged. Bathroom 2 was observed to be clean and in working order. The hot water was tested and found to be with 105-120 (F). The home's temperature is maintained by central air/heating. LPA observed three (3) fully charged fire extinguisher. Towels are stored in the linen closet. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. Disinfectants and cleaning solutions are kept in a locked closet near back door. The home has a working telephone readily accessible to children in care. LPA reminded Licensee to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Licensee acknowledges abuse reporting requirements. Licensee will ensure grievance process, Disaster Plan, Discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C Page 2 of During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. An exit interview was conducted. A copy of report will be emailed to Garrin Davis at garrin@mymgf.org. LIC 809C Page 3 of 3

met_with: Garrin Davis Chief of Operations


summary: Facility Evaluation

raw_content:
Narrative:
On October 30, 2025, at 10: AM Licensing Program Analyst (LPA) Kenrick Ellis, arrived at Mindful Growth Foundation for the purpose of conducting an Annual Inspection. LPA's and LPM met with Thomas Washington, Administrator, who granted access to the home and together a tour of the interior and exterior home was conducted. Currently there are four children placed in the home. The home is set up as follows: This is a 3 bedroom, 2 bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, attached office with bathroom and closet, and detached room not currently used. Living room: is equipped with sofa and two oversized chairs. Dining room: is equipped with one table and four chairs. Kitchen: is equipped with a refrigerator/freezer, four (4) burner gas stove (all burners were operational at the time of the inspection) and table and bench. Refrigerated medication will be stored in small refrigerator. Sharp knives will be stored in kitchen cabinet. The applicant will ensure that three (3) nutritious meals and snacks will be provided to the clients. Laundry area: is equipped with washer and dryer. Backyard: Observed to be free of debris and hazards. Report continued on LIC 809C Page 1 of Attached Office: Equipped with closet and bathroom. Bedroom #1: Clients bedroom has one (1) twin bed frame, storage space, a closet, working light, and windows. Bedroom #2: Clients bedroom has two (2) twin size beds, storage space, a closet, working light, and windows. A hole is in the closet due to central air and heat being installed in the home. Bedroom #3: Clients bedroom has two twin size beds, storage space, a closet, working light, and windows. Air duct material is exposed in closet. Bathrooms: Bathroom 1 toilet is clogged. Bathroom 2 was observed to be clean and in working order. The hot water was tested and found to be with 105-120 (F). The home's temperature is maintained by central air/heating. LPA observed three (3) fully charged fire extinguisher. Towels are stored in the linen closet. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. Disinfectants and cleaning solutions are kept in a locked closet near back door. The home has a working telephone readily accessible to children in care. LPA reminded Licensee to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Licensee acknowledges abuse reporting requirements. Licensee will ensure grievance process, Disaster Plan, Discipline policies and procedures will be posted in dining room area. Report continued on LIC 809C Page 2 of During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. LPA Interviewed two staff members. Other staff interviews will be conducted at another time. Client interviewed one cliet, additional client interviews will be conducted at a later time. Facility issued thirteen technical violations. Facility was not clean and clear of debris. Client living spaces were not clean and free of debris. Client needs and service plans were not available for LPA Kenrick Ellis to review. Kitchen and bathroom areas were not clean and free of debris. An exit interview was conducted. A copy of report was provided to Thomas Washington. LIC 809C Page 3 of 3

met_with: Thomas Washington, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 3, 2025 an informal office meeting was conducted with CEO Jenero Jefferson from Mindful Growth Foundation. The following were in attendance Lakescia Smith Licensing Program Manager, LPM, and Licensing Program Analyst Kenrick Ellis, LPA Licensing Program Analyst, LPA Andrea Aceves, Jenero Jefferson CEO Mindful Growth, Chairman Of The Board Gregory Jefferson. The following compliance concerns were discussed with the provider. There are a total of 12 pending complaints received in 2025 for Mindful Growth Foundation which remain under review. Reporting Requirements, 87061 and Administrator Changes - CCL has not been notified regarding administrator changes at the facilities. Former staff Grace Dixon was approved to administer two facilities in 12/2024, however, she's no longer working as the administrator. Licensee provided the administrator names for all five facilities. CCL staff will follow up with Licensee regarding administrator assignments. Video Camera's in CRP CCL received revisions regarding camera usage on 9/25/25. CCL will follow up with Licensee regarding review for approval. Licensee agreed to submit a withdrawal letter regarding the relocation application. Licensee confirmed they will not maintain electronic files. Mental Health Program Approval (MHPA) has not been submitted to Department of Health Care Services, DHCS. Licensee stated to CCL that the Medi-Cal visit was approved. Gramercy and 3rd Ave. home provisional license's extended for six months. CCL staff advised provider to register for the CRP Quarterly Provider meetings. CCL staff advised provider to register for Provider Information Notices on CCLD website. STRTP V Program Statement/ Plan of Operation Revisions Meeting will be scheduled within the next 30 days with LPA Connie Jones-Steward. LPA Kenrick Ellis will schedule a component three training with approved administrators within the next 30 days. CCL requested Licensee to submit board minutes for the past six months. Meeting completed.


raw_content:
Narrative:
Based on interview statements, LPA could not confirm if staff were sleeping while on shift resulting in minors engaging in inappropriate behavior. LPA had requested pictures as proof that staff were sleeping while on shift from complainant however, LPA never received documentation. There were no witnesses to corroborate the allegation that clients would sneak in their boyfriends into the facility or do drugs while staff slept during their shift. Review of pictures taken during the initial visit on 10/10/25 reveal that the facility has adequate amounts of food for residents in care. LPA observed that the facility has a minimum of one week of nonperishable foods and a minimum of two days of perishable foods per regulations. Furthermore, interview statements contradict that clients left the facility to buy food due to the allegation that "Staff did ensure facility has an adequate amount of food supply". The allegation "Staff allowed minors to smoke" could not be confirmed. Through interview statements, LPA established that staff reported every incident and would not allow for any type of drugs or smoking in the facility. The allegation of "Staff did not safeguard minor's personal belongings" could not be corroborated. Based on interview statements, LPA confirmed that a client's personal belongings are noted in the inventory log during a client's intake process should the client accept for it to be done. There were conflicting statements of whether C1's personal items were stolen or damaged while in care at the facility. LPA confirmed that an inventory list was filled out for C1 and a signed document by C1 that states the facility is not responsible for damaged, lost or stolen items. Through interview statements, LPA could not confirm if staff kept minor's personal information confidential and there were no witnesses that could attest the allegation. As a result, this investigation is being closed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. Exit interview was completed and copy of the report were provided to Facility Manager Isaac Williams.

Investigation Findings:
13On 12/11/25, at 10:20am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Manager Isaac Williams. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, client rosters, Needs and Services plan, and pictures taken at initial visit (10/10/25). During the investigation, LPA made two attempts to interview clients at the facility. LPA was only able to obtain one client interview while other clients declined to be interviewed. It was reported that (1) "Staff do not provide adequate supervision resulting in minors engaging in inappropriate behavior", (2) "Staff did ensure facility has an adequate amount of food supply", (3) "Staff allowed minors to smoke", (4) "Staff did not safeguard minor's personal belongings", and (5)"Staff did not keep minor's personal information confidential". LPA reviewed LIC500-Personnel Report and confirmed that an equal number of female/male staff work at the facility to make the facility safe and comfortable. See Lic9099-c. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: VISIT DATE: 12/11/2025

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

met_with: Facility Manager-Isaac Williams


raw_content:
Narrative:
LPA was able to establish that a current menu was posted on the refrigerator. Based on interview statements, LPA confirmed that staff offer clients hygiene products and clients are aware of where the storage cabinet is located. Staff make sure that the cabinet is stocked with the basic needs of the residents. Based on observation, LPA confirmed that an extracurricular activity calendar is posted on the bulletin board in the kitchen. In addition, the is a whiteboard located in the dining room that lists daily activities and programming. As a result, this investigation is being closed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation is unsubstantiated. Exit interview completed and copy of the report and appeal rights were discussed and provided to Facility Manager Isaac Williams.

Investigation Findings:
13On 12/11/25, at 10:20, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Manager Isaac Williams. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, picture of expired vehicle registration. It was reported that 1. "Facility vans do not have current registration". On 10/10/25, LPA Andea requested to see current vehicle registration. LPA received an expired vehicle registration dated 09/14/25. Picture of the expired vehicle registration was reviewed; the preponderance of evidence standard has been met. Therefore, the allegation "Facility van does not have current registration" is SUBSTANTIATED. Per Title 22, Article 3, Section 80022 (k)-Plan of Operation is being cited. (See LIC9909D). Exit interview was completed and copy of the report and appeal rights were discussed and provided to Facility Manager Isaac Williams. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: 198209802

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: Facility Manager Isaac Williams


facility_name: MINDFUL GROWTH FOUNDATION 3RD AVE HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with CEO Jenero Jefferson to conduct the pre- licensing evaluation. The following was observed. This is a 4 bedroom single family dwelling located in the City of Los Angeles. There are 2.5 bathrooms in the home. There are no fireplaces on the premises. There are no bodies of water. There are no security bars on bedroom windows. There are smoke detectors in each bedroom and a carbon monoxide detector in the dining area. There are four fully charged fire extinguishers in the home. There is a locked box for medications and a first aid kit. Three of the bedrooms have two twin beds each with the required linens, drawer and closet space. A fourth bedroom will be used as an office and visitation room. In the dining area there is a dining table with six chairs. There are adequate dishes and utensils for the requested capacity. There is working refrigerator and gas stove The following are required prior to licensure: 1. Arrange beds and bedroom furniture so that they do not block the exit windows. 2. Adjust the water heater to bring hot water to the required temperature 3. Make sure all closet doors are on track. 4. Obtain a phone for the home. 5. Remove debris from the backyard and repair fence. 6. Obtain scissors, thermometer, and a first aid manual for the first aid kit. 7. Adjust front left stove burner so that it lights automatically. 8. Arrange to have the garage open for inspection. 9. Obtain storage for refrigerated medications. LPA will return at a scheduled time to verify corrections.


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst Connie Jones-Steward conducted a follow-up to the pre-licensing inspection to verify needed corrections: The following were found to be corrected: 1. The beds in the third bedroom were moved to a larger room so that windows are no longer blocked. What was the third bedroom is now reserved as an office space. 2. The hot water temperature was set to the required range. 3. All sliding closet doors are on track. 4. There is phone service and Internet service in the home. 5. The backyard is clear of debris and the fence was repaired. 6.The supply of first aid items is now complete. 7. All stove burners light properly. 8. The garage was opened and found to be empty. 9. There is a box for refrigerated medicines. At this time the facility meets all physical plant requirements.


summary: Facility Evaluation

raw_content:
Narrative:
On February 3, 2025, Licensing Program Analyst (LPA) Kenrick Ellis arrived at the above facility for the purpose of conducting a Post Licensing Inspection. LPA met with Thomas Washington, Administrator who provided a tour of the facility. This facility is licensed to provide care and supervision for up to six female children ages 7 -17 years old and nonminor dependents aged 18-22, ambulatory only. There is no pool or bodies of water on the premises. The census today is five. The home is set-up as follows: This is a single-story home located in a residential neighborhood with three bedrooms, two bathrooms, living room, dining area, kitchen, laundry area, detached garage, a staff office, and a backyard. Living Room: Equipped with three sofas, a mounted TV, Dining Area: Equipped with a table and six chairs. There is a large black cabinet that contains extra hygiene products for clients with snacks included as well. Kitchen: Equipped with a stove with four working gas burners. A microwave oven mounted above the stove, a dishwasher, and a refrigerator/freezer. There is a large kitchen island located in the center of the kitchen with cabinets for storage of kitchen appliances. The home was not observed to have one week of perishable and non-perishable food.Clients are provided nutritious snacks between meals. Trash can is equipped with a lid. Sharp knives are kept in a locked closet in the staff office. Medications that do not require refrigeration are kept in a locked cabinet in the staff office. There are no clients that require refrigerated medications. Laundry Area: Located along the back wall near the garage. Extra linens are located in a cabinet under the kitchen island. Extra hygiene products for clients and the other contains laundry detergent and cleaning supplies. All cleaning solutions are made inaccessible to clients. Office: Located near the back of the facility across from the kitchen wall and kept locked. The office is equipped with two desks, two chairs, and a closet with facility files. Client and staff files are kept stored in the office and inaccessible to clients. LPA conducted three staff interviews and three client interviews. LPA reviewed three staff records and three client records which contained copies of the Needs and Service Plans and Medical Authorizations signed by each client and their authorized representative. Facility issued technical advisory for violation of California Code of Regulations, Title Division Six, regulation 80076(a)(1). Facility did not produce enough food of quality and in quantity necessary to meet the needs of clients in care. Multiple client interviews and LPA observations provided evidence that facility does not have enough food of quality and quantity for clients in care. Clients in care are always supervised and protected. Clients are accorded dignity in personal relationships with staff and others. Clients are not restricted in telephone use except by court order. Clients can contact the licensing agency or Foster Care Ombudsman person in confidence without threats or punishment for making complaints. It was reported that clients in care attend school, extracurricular, cultural, and personal enrichment activities.


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2025, at AM, Licensing Program Analyst (LPA), Kenrick Ellis and Licensing Program Manager (LPM), JoAunne Griffin arrived at the above facility for the purpose of following up on Technical Advisory issued on February 3, 2025, during a Post-Licensing inspection. LPA and LPM met with Nicholas Winn Facility Manager, who provided a tour of the facility. Prior to entering facility, a health and safety assessment was conducted. The census today is two. During the inspection LPA toured the facility to observe that Technical Assistance Advisory Notes issued on February 3, 2025, were corrected. LPA observed pantry and refrigerator to have perishable and non-perishable foods present in the facility to meet the needs of clients in care. There were no deficiencies cited at this time. Exit interview was conducted and a copy of this report will be emailed to Nicholas Winn, Facility Manager.

met_with: Nicholas Winn, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 14, 2025, Licensing Program Analyst (LPA) Kenrick Ellis arrived at the above facility for the purpose of conducting a Post Licensing Inspection. LPA met with Thomas Washington, Administrator who provided a tour of the facility. This facility is licensed to provide care and supervision for up to six female children ages 7 -17 years old and non-minor dependents aged 18-22, ambulatory only. There is no pool or bodies of water on the premises. The census today is six. The home is set-up as follows: This is a single-story home located in a residential neighborhood with three bedrooms, two bathrooms, living room, dining area, kitchen, laundry area, detached garage, a staff office, and a backyard. Living Room: Equipped with three sofas, a mounted TV, Dining Area: Equipped with a table and six chairs. There is a large black cabinet that contains extra hygiene products for clients with snacks included as well. Kitchen: Equipped with a stove with four working gas burners. A microwave oven mounted above the stove, a dishwasher, and a refrigerator/freezer. There is a large kitchen island located in the center of the kitchen with cabinets for storage of kitchen appliances. The home was observed to have one week of perishable and non-perishable food. Clients are provided nutritious snacks between meals. Continued Pg. Trash can was not equipped with a lid. Sharp knives are kept in a locked closet in the staff office. Medications that do not require refrigeration are kept in a locked cabinet in the staff office. There are no clients that require refrigerated medications. Laundry Area: Located along the back wall near the garage. Extra linens are located in a cabinet under the kitchen island. Extra hygiene products for clients and the other contains laundry detergent and cleaning supplies. Some cleaning solutions were not made inaccessible to clients. Office: Located near the back of the facility across from the kitchen wall and kept locked. The office is equipped with two desks, two chairs, and a closet with facility files. Client and staff files are kept stored in the office and inaccessible to clients. LPA conducted three staff interviews and two client interviews. LPA reviewed five staff records and four client records. Client records did not contained copies of the Needs and Service Plans. Medical Authorizations were signed by each client and their authorized representative. Facility issued citation for violation of California Code of Regulations, Title Division Six, regulation 80087(g).Disinfectants, cleaning solutions and poisons were accessible to clients in care. LPA observed these items in unlocked areas of kitchen cabinets. Facility issues technical violations for failure to have trash bin with tight fitting cover. Facility cited technical violation for hand washing and bathing facilities failure to be maintained in a safe and sanitary operating conditions. Facility cited technical violation for failure to provide portable and permanent closet drawer space to accommodate child's clothing and personal belongings. Clients in care are always supervised and protected. Clients are accorded dignity in personal relationships with staff and others. Clients are not restricted in telephone use except by court order. Clients can contact the licensing agency or Foster Care Ombudsman person in confidence without threats or punishment for making complaints. It was reported that clients in care attend school, extracurricular, cultural, and personal enrichment activities.


summary: Facility Evaluation

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Narrative:
On 12/18/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager (FM) Nick Winn for the purpose of conducting a case management other visit. LPA shared that during a previous visit on 11/3/25 for complaint 34-CR-20251015155820 alleging that "staff smoke with clients in care", LPA observed bedroom #2 in the facility smelled like marijuana. Also during that visit the fire alarm went off in bedroom #3, LPA observed smoke and vapor in the room. During this visit on 12/18/ LPA observed again that bedroom #2 in the facility smelled like marijuana. LPA also shared that during the corse of the previous investigation LPA interviewed clients in care. During those interviews clients shared that they were under the impression that they could smoke as long as it was not in the facility. Clients shared that they often smoked outside the facility during their 15 min therapeutic walks and would even AWOL to smoke. Some clients shared that they would smoke in the facility, and in their bed rooms. LPA spoke with FM regarding the concerns of client substance abuse in the facility. FM informed LPA of the facility responses to discourage substance abuse including: doing room checks on clients, keeping their doors open, confiscating contraband, talking with clients, providing therapy and substance abuse counseling, providing a monetary incentive program, going on outings, providing alternative activities, documenting incidents, writing up clients, etc. LPA affirmed the facilities responses to substance abuse but also encouraged the facility to try new things because of the persisting abuse by clients including: trying new substance counseling, more room checks, a substance abuse class or program, and/or changing the language to discourage all smoking not just in the facility. FM agreed and said they would discuss with the administrator and CEO. Exit interview conducted, a copy of this report was given to the facility. FM had to leave before being able to sign for this report so DCS Derek Hill is signing for the receipt.

met_with: Nick Winn Facility Manager


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Narrative:
It is reported that C1's incident of being sexually assaulted did not take place at the facility but during a community pass. LPA could not confirm if staff spoke to C1 inappropriately about the assault, however, the facility submitted an incident report via I-track when C1 disclosed the assault to staff. Additionally, due to conflicting statements and no dates provided, it is unknown if this incident happened at either 3rd Ave or Gramercy facility. Review of pictures taken during the initial visit on 10/10/25 reveal that the facility has adequate amounts of food for residents in care. LPA observed that the facility has a minimum of one week of nonperishable foods and a minimum of two days of perishable foods per regulations. The allegation of "Staff did not safeguard minor's personal belongings" could not be corroborated. Based on interview statements, LPA confirmed that a client's personal belongings are noted in the inventory log during a client's intake process should the client accept for it to be done. There were conflicting statements of whether C1's personal items were stolen or damaged while in care at the facility. LPA confirmed that an inventory list was filled out for C1 and a signed document by C1 that states the facility is not responsible for damaged, lost or stolen items. Through interview statements, LPA could not confirm if staff kept minor's personal information confidential and there were no witnesses that could attest the allegation. As a result, this investigation is being closed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. Exit interview was completed and copy of the report and appeal rights were discussed and provided to Facility Administrator Thomas Washington.

Investigation Findings:
13On 12/11/25, at 9:10am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Administrator Thomas Washington. LPA reviewed LIC500-Personnel Report and confirmed that an equal number of female/male staff work at the facility to make the facility safe and comfortable. Based on interview statements, LPA could not confirm the first and third allegations. Based on interview statements, S1 and S2 were mentioned as staff who reported every incident and would not allow for any type of drugs or smoking in the facility. LPA could not confirm if staff were sleeping while on shift resulting in minors engaging in inappropriate behavior. LPA had requested pictures as proof that staff were sleeping while on shift from complainant however, LPA never received documentation. In addition, LPA confirmed that an outing did take place between two houses (Gramercy and 3rd Ave) however, there were conflicting statements concerning unsupervised clients being involved in a physical altercation which could not be confirmed. Based on interview statements and review of Special Incident Reports (SIRs), LPA could not confirm that the fourth allegation of "Staff spoke to minor in an inappropriate manner" occurred since no dates or times were provided to LPA by C1.See LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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: MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: VISIT DATE: 12/11/2025

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


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Investigation Findings:
13On 12/11/25, at 09:10am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Administrator Thomas Washington. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, client rosters, pictures of food menu and activity schedule. It was reported that (1) "Staff did not post menus in the facility" and (2) "Staff do not provide extracurricular activities for minors". Based on observations made and pictures taken during initial visit on 10/10/25, there was sufficient evidence to support the allegations. LPA observed there was no food menu visibly posted, and a September activity schedule was posted. Food menu or activity schedule were not made readily available for review per regulations. Towards end of initial visit, LPA received a copy of an incomplete food menu and activity schedule. Therefore, the allegations of (1) "Staff did not post menus in the facility" and (2) "Staff do not provide extracurricular activities for minors" are SUBSTANTIATED. Per Title 22, Article 6, Section 80076 (5)-Food Services and Interim Licensing Standards (ILS) Article 6, Section 87079 (e)-Planned Activities are being cited. (See LIC9909D). Exit interview was completed and copy of the report and appeal rights were discussed and provided to Facility Administrator Thomas Washington. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B This is an official report of an unannounced visit/investigation of a complaint received in our office on 10/06/2025 and conducted by Evaluator Andrea Aceves COMPLAINT CONTROL NUMBER: 34-CR- FACILITY NAME:MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: ADMINISTRATOR:SHERLYN JOHNSONFACILITY TYPE: ADDRESS:6430 3RD AVETELEPHONE: (310) 531- CITY:LOS ANGELESSTATE: CAZIP CODE: CAPACITY:6CENSUS: 6DATE: 12/11/ UNANNOUNCEDTIME BEGAN: 09: AM MET WITH:Facility Administrator-Thomas WashingtonTIME COMPLETED:10: AM 91. Staff do not provide hygiene products for minors 2. Facility van does not have current registration INVESTIGATION FINDINGS: 13On 12/11/25, at 09:10am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Administrator Thomas Washington. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, client rosters, Needs and Services plan, pictures of storage cabinet and vehicle registration. It was reported that (1) "Staff do not provide hygiene products for minors and (2) "Facility van does not have current registration". Based on observations made during initial visit on 10/10/25, there was insufficient evidence to support the allegations. LPA observed that staff had plenty of hygiene products in a locked storage cabinet. In addition, LPA observed that the facility van has a current registration and insurance policy that is up to date. As a result, this investigation is being closed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. Exit interview was completed and copy of the report and appeal rights were discussed and provided to Facility Administrator Thomas Washington. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of 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: MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: 198209813

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:


summary: Facility Evaluation

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Narrative:
On 05/21/26, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility for the purpose of a Case Management- Deficiency and met with Residential Director-Linda Ihesiaba. On 02/01/26 an incident occurred at the facility. Several staff struggled with de-escalating an incident between clients in care and S1. Based on an incident report submitted to the department on 02/02/26, LPA determined that the incident report lacked vital information such as a timeline of events, clarity of staff actions taken during and after the incident, law enforcement's involvement during and after the incident and the length of the restraint performed by staff. Due to the facility failing to follow the reporting requirements a deficiency is being cited. See LIC 809D. Exit interview completed and copy of the report and appeal rights were provided to Residential Director-Linda Ihesiaba.

met_with: Residential Director-Linda Ihesiaba


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Connie Jones-Steward met with CEO Jenero Jefferson to evaluate this address for licensure as a Short Term Residential Therapeutic Program (STRTP) facility. The following was observed: This is a 4 bedroom, three bathroom, single-family home located in the City of Los Angeles. One bedroom will be used as an office space and the other three will be occupied by clients. Fire Safety/Water Safety There is a fireplace that is screened. There are working smoke detectors in each bedroom and in the hallway. There is a carbon monoxide detector in the dining area and in the office area. There are no pools, jacuzzi's or other such bodies of water on the premises. Kitchen area/Dining Room/Living Room There is a working stove, but no refrigerator. The refrigerator is on order. There is a storage space where knives and household cleaners will be locked. There is a dining room table with six chairs, The street facing windows in the dining area and living room do not have coverings Bedrooms: Each bedroom has two twin beds in good condition with the required linens. There is storage space as required. There are no security bars on windows. Two of the bedrooms do not have window coverings. Bathroom: Each bathroom has a tub, shower and toilet. In bathroom #1, the tub and shower are separate. The toilet seat cover in bathroom #1 needs to be installed. A curtain is suggested for the bathtub. Yard & Garage area There is front and backyard and a two car garage. LPA Jones-Steward observed construction materials on the front porch and in the backyard. Telephone Service There is telephone and Internet service for the home. Health Related: There is a complete first aid kit and a locking box for medication storage. The following items require correction prior to licensure: Obtain a refrigerator for the kitchen. Obtain window coverings for the bedrooms and living areas to provide privacy for the clients. Obtain at least one fire extinguisher Attach toilet seat cover in bathroom # Remove construction materials and tools from the yard area. Place a lock on the storage space for household cleaners and knives. Suggestions: Have the TV in the living room installed Place a curtain around the bathtub in bathroom #1 for privacy.


summary: Facility Evaluation

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Narrative:
On this date, LPA Connie Jones-Steward re-evaluated the home to determine its readiness for licensure. LPA verified that the following items were corrected. There is a refrigerator in the kitchen: There are two fully charged fire extinguishers in the home. The toilet seat cover in bathroom #1 has been attached to the toilet. There is a lock on the storage area for knives and household cleaners, The following remains to be completed. There are still several bedroom and living area windows that need curtains or blinds. LPA will return at a later date to view the progress of the corrections.


summary: Facility Evaluation

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Narrative:
On November 22, 2024, licensing Program Analyst Connie Jones-Steward arrived at the facility to ensure that all windows had proper coverings. LPA observed that all windows in the bedroom, kitchen and common areas areas are covered by curtains or blinds. All bathrooms have frosted windows. At this time the home meets the physical plant requirements for licensure.


summary: Facility Evaluation

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Narrative:
On May 27, 2025, Licensing Program Analyst (LPA) Kenrick Ellis, arrived at the above facility for the purpose of conducting a Post Licensing Inspection. Upon arrival facility was locked. LPA will attempt visit at a later time. This facility is licensed to provide care and supervision for up to six children ages 12-18 years old and nonminor dependents aged 18-22, ambulatory only.


summary: Facility Evaluation

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Narrative:
On 02/19/2026, Licensing Program Analyst (LPA) Andrea Aceves, arrived at the above facility for the purpose of conducting an Annual Inspection. LPA met with Operations Manager Garrin Davis who provided a tour of the facility. This facility is licensed to provide care and supervision for up to six children ages 12-17 years old and non-minor dependents, ambulatory only. There are no pool or bodies of water on the premises. The home is set up as follows: This is a one-story home located in a residential neighborhood with three bedrooms, two bathrooms, living room, dining area, kitchen, laundry area, detached garage, a staff office, and a backyard. Living Room: equipped with two sofas, non-operational gas fireplace equipped with a security screen. Dining Area: Equipped with a table and six chairs. Kitchen: Equipped with a stove and operational gas burners. A microwave oven mounted above the stove, a dishwasher, and a refrigerator/freezer. LPA observed that there were no non-perishables in the home. See Lic 809-c Laundry Area: Located behind the kitchen. All cleaning solutions are located in a locked cabinet. Bedrooms: The facility has three bedrooms. All bedrooms are equipped with two twin-sized beds and a dresser. Bathroom # 1- located to the right of the hallway. Bathroom is equipped with a tub, shower, sink, toilet and all are clean and in good repair. Bathroom # 2 - located next to staff office. It is equipped with a toilet, sink, and shower. Bathroom needs cleaning and minor touch ups. Staff Office: Located in the back of the building. The staff office is equipped with a desks, chairs, and small closet but no computers. Detached garage: Located in the back of the home and empty. Outdoor Area: The outdoor perimeter front yard, side yard and backyard were inspected and cleared of debris and hazards materials. LPA observed the home to have two (2) fully charged fire extinguishers. Smoke and Carbon Monoxide combination detectors were tested and found to be in working order. The following posting requirements were observed and posted in public area: The Emergency Disaster Plan, Grievance Procedures, Personal Rights, the facility license, food menu and the daily activity schedule. There is a working telephone readily accessible to clients. The home has central air and heat and the temperature maintained between 68-85 degrees (F). NOTE: The program has not had any clients at the facility since post-licensing inspection. Mental Health certification is currently pending. LPA suggests installing a TV in the living room. No deficiencies cited at this time. Exit interview was completed and a copy of this report was to Jasmine Sampson.

met_with: Garrin Davis-Operations Manager


facility_name: MINDFUL GROWTH FOUNDATION WILTON HOME

summary: Facility Evaluation

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Narrative:
On May 12, 2025, Licensing Program Analyst (LPA) Kenrick Ellis, and Erika Butler arrived at the above facility for the purpose of conducting a Pre Licensing Inspection. LPA met with Jenero Jefferson , Administrator who provided a tour of the facility. This facility is licensed to provide care and supervision for up to six male children ages 12-18 years old and nonminor dependents aged 18-22, ambulatory only. There is no pool or bodies of water on the premises. The home is set-up as follows: This is a two-story home located in a residential neighborhood with three bedrooms, two bathrooms, living room, dining area, kitchen, laundry area, detached garage, a staff office, and a backyard. Living Room: Equipped with three sofas. Dining Area: Equipped with a table and six chairs. Kitchen: Equipped with a stove with non-operational gas burners. A microwave oven mounted above the stove, a dishwasher, and a non-operational refrigerator/freezer. There is a large kitchen located to the left of the front door with cabinets for storage and kitchen appliances. The home was not observed to have one week of perishable and non-perishable food. There was no water or gas located in the home. There was no trash can equipped with a lid. No sharp knives are present in the facility. There is no designated area for medications in the facility. Laundry Area: Located along the middle hallway across from bedroom 1 and 2. No extra linens are located in a cabinets. No cleaning solutions are present in the above facility.

met_with: Jenero Jefferson, Administrator


summary: Facility Evaluation

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Narrative:
On June 6, 2025, Licensing Program Analyst (LPA) Kenrick Ellis, and Erika Butler arrived at the above facility for the purpose of conducting a Pre Licensing Inspection. LPA met with Garrin Davis , Administrator who provided a tour of the facility. This facility is licensed to provide care and supervision for up to six male children ages 12-18 years old and non minor dependents aged 18-22, ambulatory only. There is no pool or bodies of water on the premises. The home is set-up as follows: This is a two-story home located in a residential neighborhood with three bedrooms, two bathrooms, living room, dining area, kitchen, laundry area, detached garage, a staff office, and a backyard. Living Room: Equipped with three sofas. Dining Area: Equipped with a table and six chairs. Kitchen: Equipped with a stove and operational gas burners. A microwave oven mounted above the stove, a dishwasher, and a non-operational refrigerator/freezer. There is a large kitchen located to the left of the front door with cabinets for storage and kitchen appliances. The home was not observed to have one week of perishable and non-perishable food. Water and gas are operational in the home. There was no trash can equipped with a lid. No sharp knives are present in the facility. There is no designated area for medications in the facility. Laundry Area: Located along the middle hallway across from bedroom 1 and 2. No extra linens are located in a cabinets. No cleaning solutions are present in the above facility. Bedrooms: The facility has three bedrooms all equipped with two twin sized beds and a dresser. Beds are equipped with adequate bedding. Staff Office: Located on the second floor of the building. The staff office is not equipped with a desk, chair, or computers. Detached garage: Located in the back of the home and is locked away from children. LPA Kenrick Ellis informed administrator that technical advisories will be due on 6/23/25. At that time the above facility should be ready to complete inspection.

met_with: Garrin Davis, Operations Manager