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

Investigation Findings:
13On February 3, 2025 at 11am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint investigation. LPA was met by Facility Administrator, Miracle Murray-McKnight and allowed into the facility. During the course of investigating the allegations, LPA conducted interviews and obtained documents. There was no evidence that the minors belongings are being stolen while in care. Interviews did not produce evidence to this allegation. There was no evidence that staff are not adequately supervising minor while in care. Elopement protocol was followed in the event that a client left the facility unauthorized. There was no evidence that staff inappropriately disciplined minor while in care. Interviews did not state that clients were forced to stay in their rooms for discipline purposes. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 02/03/2025

met_with: Miracle Murray-McKnight-Administrator


state: CA

facility_name: DIMONDALE ADOLESCENT CARE FACILITY #2

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80078(a) Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the client's needs. Statements and documentation indicated that staff was not aware of an unauthorized visitor entering the home during the overnight shift. A copy of this report was left with Administrator, Miracle Murray.

Investigation Findings:
13On May 2, 2025 at 12pm, Licensing Program Analyst (LPA) Donald Martin conducted a follow up complaint inspection. The purpose of this inspection was to deliver findings for the above complaint allegation. LPA was met by Facility Administrator, Miracle Murray-McKnight and allowed into the facility. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegation. Interviews revealed inconsistent statements and no witnesses to suggest allegation occurred. Wax pen was found by staff while cleaning clients room. It is unclear who the wax pen belonged to. Wax pen was confiscated and disposed of by staff. Clients were counseled on the importance of avoiding drug usage. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 05/02/2025

report_type: Complaint Investigation

met_with: Miracle Murray, Administrator

complaint_status: unsubstantiated


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The Department has decided that the allegations are Unsubstantiated, but if any additional information is received, this complaint can be amended and the finding can be changed. There were no deficiencies cited. An exit interview was completed, and a copy of this report was provided to the facility.

Investigation Findings:
13On October 30, Licensing Program Analyst (LPA) Justine Armstrong conducted an unannounced visit to DIMONDALE ADOLESCENT CARE FACILITY #2 to conclude the investigation of the above allegations and deliver the findings. LPA met with the Facility Administrator Miracle Mcknight, who granted access to the facility, and together, they discussed the investigation details. During the investigation process, all relevant parties were taken into account. It was reported that staff did not prevent minors from fighting while in their care and did not intervene when a minor attempted self-harm. After conducting confidential interviews and reviewing documents, there was insufficient evidence or testimony to substantiate these allegations. C1 denied the allegations, and documentary evidence provided by S1 indicated that staff were present and attempted to intervene during a physical altercation between C1 and another client. C1 also confirmed that the facility contacted the appropriate department when C1 attempted self-harm. . UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 10/30/2025

met_with: Miracle Mcknight


summary: Complaint Investigation - Substantiated - 1 deficiency

raw_content:
Narrative:
Los Angeles Sheriff Department (LAPD) arrived at the facility and began questioning staff and residents about the alleged incident. The unidentified male admitted he was present in the facility at the time and witnessed no staff member(s) conduct room checks. Based on the information obtained, there is a preponderance of the evidence to prove that the staff failed to provide adequate supervision to C1 resulting in minor participating in sexual activities in the facility. Therefore, the above allegation is substantiated. Facility is cited for violation of California Code of Regulations, Title 22 80078 -Responsibility for Providing Care and Supervision (refer to page 9099D for deficiency). Appeal Rights were provided and discussed, and a copy of this report was emailed to Facility Administrator.

Investigation Findings:
13The above-mentioned allegation was investigated by Community Care Licensing Special Investigator, Philippe Ryan Miles. On May 14, 2021, Licensing Program Analyst (LPA) Regina Martin met with Janina Holt, Administrator to deliver and discuss findings. On March 31, 2020, Community Care Licensing received claims alleging a lack of supervision contributed to Client #1 (C1) engaging in sexual activities with an unidentified male while in the facility. The investigation consisting of interviews and review of corresponding records revealed the alleged unidentified male in question is a male minor, age 16 who C1 identified as her "boyfriend". Based on gathered information from confidential interviews of witnesses, clients and staff members, there is corroborating evidence to support lack of supervision. Interviews revealed Staff #1 (S1) did not conduct any room checks while C1's boyfriend was present in client's room at the facility. S1 admitted she was unaware of an unidentified male being present in the facility since she failed to conduct routine room checks. S1 disclosed that she was under the assumption of knowing C1 "having the habit of staying in the room and not socializing with the residents in the living room." S1 discovered the unidentified male was present at the facility when a neighbor witnessed the male jump the fence, after the (Continued on LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Alan Henry LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 2 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #2FACILITY NUMBER: VISIT DATE: 05/14/2021

Deficiencies:
80078: 1
2
3
4
5
6
7Licensee shall submit a written statement describing how the facility will ensure proper supervision for the safety to clients and ensure facility follows its policies and procedures to prevent such incidents from re-occurring.
8
9
10
11
12
13
14Information gathered revealed

met_with: Janina Holt, Administrator

complaint_status: SUBSTANTIATED

title:
(a) Responsibility for Providing Care and Supervision
The licensee shall provide care and supervision as necessary to meet the client's needs.
This requirement was not met as evidenced by


raw_content:
Investigation Findings:
13The above-mentioned allegations were investigated by Licensing Program Analyst (LPA) Regina Martin. During the course of investigating the allegations, LPA conducted independent interviews. The interviews did not produce witnesses nor documentary evidence to support said allegations. Confidential interviews of clients refute claims as clients state they have not had issues or concerns obtaining snacks between meals nor staffs yelling at clients. LPA Martin observed and verified client's accessibility to snacks between meals during the investigation. Due to lack of evidence obtained during the investigation, LPA determined that the allegations are inconclusive at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove nor disprove that a violation occurred. Exit Interview conducted. A copy of this report was emailed to xxxxx. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Alan Henry LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 5 of 5


summary: Facility Evaluation

raw_content:
Narrative:
On October 16, 2021 at 2: PM, Associate Governmental Program Analyst (AGPA) Tonya L. Barnes-Woodard conducted a collateral visit at the above facility for the purpose of conducting an interview with Resident #1. A copy of this report was left with Direct Care Worker.

report_type: Facility Evaluation

met_with: Ione Young, Direct Care Worker


summary: Facility Evaluation

raw_content:
Narrative:
On January 14, 2022 at 2pm Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required Inspection. Note: The facility was in the process of being painted and all the furniture and floors were covered in plastic at the time of the inspection. LPA met with Administrator, Janina Holt and together conducted an inspection of the facility. The facility floor plan is as follows: Dimondale Adolescent Care facility # Short Term Residential Therapeutic Program (STRTP) cares for a maximum of six (6) ambulatory only children, ages 12-17 years, as well as non-minor dependents. This is a one-story home, located in a residential neighborhood, with three (3) bedrooms and two (2) bathrooms, living room, dining room, one staff offices, backyard, and garage. There are no security bars on the windows, there are no firearms or dangerous weapons, and there are no active facility cameras on the facility premises. There is also no pool or bodies of water on the premises. LPA observed the following: All bedrooms are furnished with sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows, all in good repair. Bedroom#1: is occupied by two female clients, it has two twin size beds, adequate closet and drawer space. There is a bathroom attached to this bedroom Bedroom#2: is occupied by two female clients, it has two twin size beds, adequate closet and drawer space. Bedroom#3: is occupied by two female clients, it has two twin size beds, adequate closet and drawer space. Bathrooms: both were observed to be clean and in good working order, Staff office: shall be locked, and stores medications, cash, first aid kit, etc. The office is also equipped with a closet, which will store staff and client files, a desk with a computer for the facility staff. (Continued on LIC809-C) Kitchen: There is an electric stove/oven with 5 burners all working at this time; There is a microwave and refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. Applicant shall ensure three nutritious meals, snacks, and special diets. There is also a refrigerator located in the main office for medication requiring refrigeration. Garage: locked and off-limits to clients. Its purpose is for additional storage, and car parking. Living room, dining-room, kitchen, and bedrooms are clean, sanitary, and in good repair. The first aid kit is complete with scissors, tweezers, thermometer, gauzes, antiseptic and First Aid Manual. Fire extinguishers are available and fully charged. Cleaning solution/toxins are inaccessible. There are extra linens, and hygiene supplies available. The yard and surrounding areas are free and clear of debris. Carbon monoxide detector, and all smoke detectors are fully functional. The facility is observed in overall good repair and working order. Fireplace is secured and not used. Medication storage was observed to be locked and secure in the staff office. All posting requirements are met. The weekly menu is current and posted. The facility vehicle was not present at the time of the visit. LPA reviewed two staff files and two client files. All documents were accounted for and files were in good order. LPA interviewed two staff and no clients due to them being on home pass. There were no deficiencies cited at the time of the visit.

visit_type: Annual

met_with: Janina Holt-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem, conducted a case management inspection on 5/3/2022 at 9:51AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 3 out of Direct Care Staff and 4 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated May 3rd, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Sethany Yem observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to the Administrator Janina Holt.

visit_type: Case Management

met_with: Administrator Janina Holt


summary: Facility Evaluation

raw_content:
Narrative:
On 07/12/ Licensing Program Analyst (LPA) Miguel Gomez arrived at the facility to conduct a collateral visit for the purpose of investigating Resource Family Approval home. Client is currently placed at the facility and has an open referral with previous caregiver, therefore child involved was interviewed. There are no deficiencies cited at this time. A copy of this report was discussed and provided to the Administrator Janina Holt.

met_with: Janina Holt


summary: Facility Evaluation

raw_content:
Narrative:
On March 13, 2024 at 11am Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required Inspection. LPA met with Administrator, Jill Elam and together conducted an inspection of the facility. Dimondale Adolescent Care facility # Short Term Residential Therapeutic Program (STRTP) cares for a maximum of six (6) ambulatory only children, ages 12-17 years, as well as non-minor dependents. The facility floor plan is as follows This is a one-story home, located in a residential neighborhood, with three (3) bedrooms and two (2) bathrooms, living room, dining room, one staff office, backyard, and garage. There are no security bars on the windows, there are no firearms or dangerous weapons, and there are no active facility cameras on the facility premises. There is also no pool or bodies of water on the premises. The facility license and documentation is posted on the facility walls and accessible and accounted for. All bedrooms are furnished with sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows, all in good repair. Bedroom# Two twin beds, closet space and a dresser. Bedroom# Two twin size beds, closet space and a dresser. There is a full bathroom inside the room in good working condition. Bedroom# Two twin beds, closet space and a dresser. The hallway Bathroom is shared by bedroom #1 and #3. It is also used by staff. The bathroom is in good working condition. There is a locked closet in the hallway that stores extra towels and linen for client use. Staff office: shall be locked, and stores medications, cash, first aid kit, etc. The office is also equipped with a closet, which will store staff and client files, a desk with a computer for the facility staff. The Living room has a couch, computer desk and a TV on the wall for the clients use. (Continued on LIC809-C) Kitchen: There is an electric stove/oven with 5 burners all working at this time; There is a microwave and refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. Applicant shall ensure three nutritious meals, snacks, and special diets. There is also a refrigerator located in the main office for medication requiring refrigeration. Garage: locked and off-limits to clients. Its purpose is for additional storage, and car parking. Living room, dining-room, kitchen, and bedrooms are clean, sanitary, and in good repair. The first aid kit is complete with scissors, tweezers, thermometer, gauzes, antiseptic and First Aid Manual. Fire extinguishers are available and fully charged. Cleaning solution/toxins are inaccessible. There are extra linens, and hygiene supplies available. The yard and surrounding areas are free and clear of debris. Carbon monoxide detector, and all smoke detectors are fully functional. The facility is observed in overall good repair and working order. Fireplace is secured and not used. Medication storage was observed to be locked and secure in the staff office. All posting requirements are met. The weekly menu is current and posted. The facility vehicle is a Ford Expedition. The registration and insurance was current and the vehicle was in good working condition. Note: The backyard of the facility needs landscaping and cleaning. LPA advised Administrator Jill Elam of Title Regulation 80087 regarding safety and cleanliness of the outdoor spaces. LPA reviewed three staff files and three client files. All documents were accounted for and files were in good order. There were no deficiencies cited at the time of the visit.

met_with: Jill Elam-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 20, 2024, at 1:15pm Licensing Program Analyst (LPA), Donald Martin made an unannounced visit to the above facility for the purpose of concluding a Case Management - Incident Inspection. LPA met with Administrator, Miracle Murray McKnight and was allowed into the facility. A health and safety assessment was conducted. On 08/7/2024, the department received an Incident Report, dated 08/6/2024, indicating that Child #1 (C1) accused Staff #1 (S1) of being intoxicated while transporting clients to a boxing class. During the incident, S1 contacted Staff #2 (S2) to have another staff come to drive the clients home because they are being disruptive. Before staff could send a staff to relieve S1, C1 pulled up to the facility without S1. As a result S1, Staff #3 (S3) and Staff #4 (S4) were terminated. S3 and S4 had information prior to S1 leaving with the clients that she may have been under the influence but failed to report it. During the investigation process, LPA requested the S1 termination letters for S1, S3 and S4. LPA collected incident reports for a fight prior to this incident and an incident report for the C1's emergency discharge. LPA will return to conclude this investigation. No deficiencies were cited at the time of the visit.

met_with: Miracle Murray McKnight-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 20, 2024, at 2:30pm Licensing Program Analyst (LPA), Donald Martin made an unannounced visit to the above facility for the purpose of concluding a Case Management - Incident Inspection. LPA met with Administrator, Miracle Murray McKnight and was allowed into the facility. A health and safety assessment was conducted. On August 12, 2024 the department received an incident report indicating that Child #1 (C1) tested positive for Covid-19. As a result, all staff and clients were required to test for Covid-19. A total of 5 staff and one client tested positive. C1 stayed in her room for 7 days on quarantine and kept her mask on for 10 days. All staff were required to be off shift for 3 days. Upon returning to the facility, Staff are required to wear an N95 mask for 10 days and to not have had a fever for 24hrs. Staff temperature was taken the day they returned. All staff have returned to active duty at the time of the visit. Nothing further to report at this time.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the facility manager and medical coordinator at 1: PM to follow-up on special incident report 1375267 (2058-FN) which reported bed bugs in the facility. LPA inspected the bedrooms and found no evidence of bed bugs. LPA also reviewed a pest control invoice for heat treatment of the entire home, to mitigate the bed bugs, on August 13, LPA spoke to the program director Julie Gonzalez-Garcia on August 12 who stated that new mattress covers were bought for the beds that were affected. She also stated that the facility will provide trauma informed training to help the clients avoid bringing bed bugs into the facility. LPA found no deficiencies and no citations were issued.

met_with: Kiana Crayton, Medical Coordinator, Danielle Council, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
LPA Connie Jones-Steward met with administrator Miracle Murray-Mcknight to discuss SIR #: 1407258 (2327-FN). which reports that former staff bullied and continues to threaten client. Per Ms. Murray-McKnight, the incident was investigated by Human Resources and the staff was let go. Since then the staff person has been contacting other clients and making threats to have C2 jumped by gang members. Ms. Murray-McKnight provided screen shots of text messages from the staff to C1. Ms. Murray-McKnight has contacted law enforcement and tried to have a restraining order placed against the staff but has not been successful. Currently C1's social worker is communicating with county counsel to see what can be done to protect C1 and stop the former staff from contacting the facility.. At this time more information is needed,

met_with: Miracle Murray McKnignt, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 3, 2025 at 11: AM Licensing Program Analysts (LPAs) Connie Jones-Steward and Rosslyn Gray made an announced visit at Dimondale Adolescent II to conduct the SB Psychotropic Medication Inspection. LPAs conducted a Health and safety risk assessment upon arriving at the facility. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPAs Jones-Steward and Gray met with the Administrator Miracle Murray-McKnight and conducted a brief walk through of the physical plant inside and out. LPAs reviewed five (5) client medical binders and three staff files. LPA Jones-Steward interviewed 3 of the 5 clients as they were the only three available. LPA Gray interviewed three (3) of staff on site to discuss the facilities policies and procedures of operation.. LPA's reviewed the LIC-500 and staff files to confirm that all staff have criminal background clearances training in medication handling. The Administrator provided a physical hard copy of the psychotropic medication training topics during the inspection for LPA's to review. The facility was cited under Title 22, Section 87068.3(a) for failure to update NSPs every 30 days. An exit interview was conducted, and a copy of this report was left with the Administrator Miracle Murray-McKNight.

met_with: Miracle Murray-McKnight, Administrator


facility_name: DIMONDALE ADOLESCENT CARE FACILITY #3

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Staff 1 was not in the immediate location where the incident took place but within view point. Staff 1 was monitoring other clients with the intention to not engage. C2 sustained four to five punches from C1 during the altercation. An internal investigation was conducted by Leroy Wise (Administrator, Dimondale Adolescent) on March 9, 2021. The internal report stated on bullet 5, "staff were able to de-escalate the situation by separating the girls and escorting them to different locations in the facility". Based on information reviewed by this analyst, the successful de-escalation occurred after the altercation between C1, C2 and C3 had ended. Bullet 7 of the internal report states that Staff 1 and Staff 2 were "new to the agency" and had not completed the Professional Assault Crisis Training (Pro Act). A review of the staff training records confirm the completion of 16 hours of Pro Act training by Staff 1 and Staff 2 on March 16, 2021. The investigation finding is substantiated, meaning that the allegation is valid because the preponderance of the evidence standard has been met. Facility cited for violation of Interim Licensing Standard V3 87072(d)(11) Personal Rights. Exit interview was conducted, and a copy of this report was emailed to Leroy Wise to sign and return.

Investigation Findings:
13On May 6, 2021 at 1:15 pm, Out of State Certification Analyst, Ron Leslie conducted a a follow-up complaint investigation via telephone with Leroy Wise, Administrator, to discuss complaint allegations. During investigation of the allegation, facility staff did not intervene in youths physical altercation, the AGPA conducted interviews and reviewed serious incident reports, law enforcement reports and staff training records. Based on the information obtained, it is deteremined that staff did not intervene beyond verbal direction during the physical encounter of the two clients. Staff witnessed C1 obtain a plastic fork from the kitchen and returned back to the bedroom where C2 was located, having pushed past staff to do so. An altercation ensued between the clients resulting in the jabbing/stabbing of C2 and C3 by C1. Staff were out of position to appropriately de-escalate the incident. Two staff were on shift. Staff 2 was in the area where the incident occurred prior and during the altercation but did not prevent C1 from physically confronting C2 with the plastic fork. Staff 2 issued verbal commands while on the phone attempting to obtain direction from a supervisor. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Ronald Leslie 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, FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 05/06/2021

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

met_with: Leroy Wise, Administrator


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

met_with: Case Manager


summary: Complaint Investigation - Unsubstantiated - 1 allegation

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

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


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

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

met_with: Jamie Roberts, Facility Supervisor


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

Investigation Findings:
13On August 11, 2022 at 2: PM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection at DIMONDALE ADOLESCENT CARE FACILITY #3 to deliver findings concerning the above-mentioned allegations. LPA Martin met with Ashley Ross, Administrator to discuss the investigative outcome. The investigation was conducted by Investigator Dennis Douglas of the Community Care Licensing Division (CCLD) Investigations Bureau. On February 8, 2022, CCLD received complaint allegations concerning neglect/lack of supervision resulting in the injury of a facility Client as Client #1 (C1) (see LIC811, dated 8/11/2022) was reportedly assaulted by several non-resident juveniles while in care. On February 11, 2022, LPA Regina Martin, conducted the initial complaint inspection and obtained related documentation. Investigator Douglas completed the investigation which included, confidential interviews with related clients/residents, staff members, review of documented witness statements, review of related client file and incident reports, and review of the Hawthorne Police Department Incident Report. (Continued on page LIC9099-C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 08/11/2022

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

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


raw_content:
Investigation Findings:
13On September 2, 2022 at 2: PM, Licensing Program Analysts (LPA) C. White conducted an unannounced visit to Dimondale Adolescent Care Facility #3 for the purpose of delivering findings on the above allegations. LPA met with Administrator Interim, Ashley Ross and discussed the complaint findings. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Staff confirmed they have been recycling the air filter and that the laundry room floorboard was recently replaced because it was unstable. Client interviews revealed the bedrooms are hot and that they had to be careful when doing laundry because of the floorboard. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5.Facility cited for violation of California Code of Regulations, Title Division 6, regulation 80088(a)(1) Fixtures, Furniture, Equipment and Supplies; and 80087(a) Buildings and Grounds. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: 198204471

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

met_with: Administrator Interim, Ashley Ross


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

Investigation Findings:
13On December 16, 2022 at 10:45am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above allegations. LPA met with Facility Supervisor, Bobbie Travis, and was allowed into the facility. During the course of investigating the allegations for "Staff do not prevent a minor from harm while in care and staff do not prevent a minor from wandering", interviews were conducted. The interview did not produce corroborating evidence to support said allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence that "staff do not prevent a minor from harm while in care and staff do not preven a minor from wandering". Staff was able to articulate the AWOL procedures to LPA. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 12/16/2022

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

met_with: Bobbie Travis-Facility Supervisior


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward arrived at the facility at 2: PM to investigate the above allegations. LPA met with administratrator Shaundrea Menefield who assisted with the inspection. LPA noted that there was no air conditioning in the bedrooms. However, there were workmen there who were installing air conditioning in the living room area and the bedrooms. LPA Jones-Steward did see mold growing along the ceiling of the hallway bathroom. LPA also noticed a small strip of peeling paint on the wall of bedroom #2. LPA interviewed clients and staff who confirmed that there is no air conditioning in the bedrooms and that it gets very warm. The above allegations were substantiated and the facility was cited under Title Sections 80088(a) and 80087(a). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: 198204471

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

met_with: Shaundrea Menefield, administrator


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

Investigation Findings:
13On October 25, 2023 at 11: AM, Licensing Program Analyst (LPA), Regina Martin conducted a follow-up complaint inspection to deliver findings concerning the above-mentioned allegations. LPA Martin met with Shaundrea Menefield, Facility Administrator, to discuss the investigative outcome. On March 23, 2023, Community Care Licensing Division (CCLD) received a complaint alleging that Staff #1 (S1) [See LIC811, dated 10/25/2023] provided youth residents with alcohol and marijuana and facility staff failed to supervise residents contributing to residents' fighting and consuming alcohol/marijuana. The investigation was referred to and conducted by Investigator Heidy Bendana of the CCLD Investigations Branch. On March 24, 2023, LPA Regina Martin conducted the initial complaint inspection, informed licensee receipt of the allegation, subsequent investigation and obtained requested related records. Further investigation including review of facility file history, review of related incident reports, review of staff file history, as well as confidential interviews with residents, staff members and review of related documentary proof, revealed enough evidence to support lack of supervision and conduct inimical. (Continued on page LIC 9099) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Regina Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 10/25/2023

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

met_with: Shaundrea Menefield, Administrator


raw_content:
Narrative:
Based on the confidential interviews and documentary evidence, the preponderance of evidence standard has been met, the Department has determined that the allegations regarding the Staff not setting limits between staff and minor are Substantiated. The staff's actions pose an immediate risk to the health, safety, and personal rights of children in care. The licensee is therefore issued a citation in accordance with the Interim Licensing Standards, Chapter 5 the Facility cited for violation of California Code of Regulations, Title Division Six, regulation ILS 80078(a) Responsibility for Providing Care and Supervision. The exit interview was conducted with Leroy Wise and a copy of this report was provided to the facility.

Investigation Findings:
13On May 7, 2025 at 12: PM , Licensing Program Analyst (LPA) Justine Armstrong conducted an unannounced visit to DIMONDALE ADOLESCENT CARE FACILITY #3 to conclude the investigation of the above allegations and deliver the findings. LPA met with Leroy Wise the Administrator, at the facility, and together, they discussed the investigation details. During the investigation, all relevant parties were accounted for. It was initially reported that the staff not setting limits between staff and minor. The facility conducted an internal investigation, resulting in the suspension of S3 pending the investigation's conclusion. Interviews and documentary evidence indicated that S3 acknowledged a resident had visited a family member; however, this visit did not occur at S3's personal residence. Employees are prohibited from having contact or any type of relationship with residents outside of the workplace. (See LIC 9099C) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Enrique M Hernandez LICENSING EVALUATOR NAME: Justine Armstrong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 05/07/2025

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

met_with: Leroy Wise


summary: Facility Evaluation

raw_content:
Narrative:
Report from 10/29/ Amended on 12/15/2021 for Corrections. On 10/29/2021 at 9:15 am Licensing Program Analyst (LPA) Bernice Karnsrithong and Licensing Program Manager (LPM) JoAunne Griffin made an unannounced visit to the facility for the purpose of conducting a case management inspection. LPA and LPM met with Shantanish Battiste, Facility Manager and discussed an incident report dated 10/18/2021 and submitted on 10/18/2021 to Community Care Licensing (CCL). The special incident report disclosed that on 10/17/2021 alleged that staff purchased alcohol for C1, C2, and C3. C1, C2, and C3 were observed to under the influence of alcohol and transported to hospital. During the inspection LPA reviewed LIC Personnel Report, LIC Register of Facility Clients/Residents, and facility medication logs. LPA and LPM also conducted confidential interviews with staff and clients. Not all parties were available at the time of the visit. Investigation will conclude at a later date. Exit interview was conducted with Shantanish Battiste and a copy of this report will be emailed to the facility. There were no deficiencies cited at this time.

met_with: Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2021 at 2:00pm, Licensing Program Analyst (LPA) Bernice Karnsrithong made an unannounced visit to the facility for the purpose of conducting a case management inspection. LPA Karnsrithong met with Case Manager, Lesley Rico and discussed an incident that occurred on 12/01/2021 and 11/30/2021. The alleged incident on 12/01/2021 is regarding Child #1 who recently went AWOL may have engaged in CSEC activity while out in the community. C#1 reported to left the facility on 11/29/2021 at 6:03pm and returned on 11/30/2021 at 8:25pm with Child #2. Both clients appeared to have visible injuries that may have been obtained while they were both on AWOL. During the inspection LPA received the following documents: LIC Personnel Report and LIC Register of Facility Clients/Residents. Not all parties were available at the time of the visit. Investigation will conclude at a later date. Exit interview was conducted with Case Manager, Lesley Rico and a copy of this report will be emailed to the facility. There were no deficiencies cited at this time.


summary: Facility Evaluation

raw_content:
Narrative:
On December 15, 2021 at 2:00pm Licensing Program Analyst, LPA Bernice Karnsrithong made an inspection visit to the above facility for the purpose of concluding a Case Management Investigation. LPA met with Case Manager. The Incident Report dated October 18, 2021, indicated that clients consumed alcohol while being transported to facility. During the investigation of the allegation, LPA conducted confidential interviews and reviewed documentary evidence. Documentary evidence indicated that Staff did not provide supervision and clients consumed alcohol while being transported to facility. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80078 (a) Responsibility for Providing Care and Supervision. Children in care consumed alcohol while under the supervision of staff. Citation issued December 15, Complaint Number 34-CR-2021102215552.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/19/2022 at 12pm, Licensing Program Analyst, Bernice Karnsrithong made an unannounced visit to the above facility for the purpose of concluding a Case Management Inspection. LPA met with Leroy Wise, Administrator. LPA discussed the Special Incident Report submitted to CCL on 12/01/2021. The incident report states that on 12/01/2021, client came back from AWOL and was overheard talking to someone on the phone asking for money from her "Sugar Daddy". Client was reported to jumped into a vehicle and returned to the facility a few moments later with a large amount of cash. Based on the Incident Report and confidential interviews conducted with three staff and two children in care, statements were inconsistent and did not produce corroborating evidence to support that staff are not complying with emergency intervention procedures when clients go AWOL. Facility staff report AWOL incidents to law enforcement and notify management and authorized parties. This investigation has been closed. Exit interview was conducted with facility Administrator. Appeal Rights were issued, and a copy of this report would be emailed to the facility. There were no deficiencies cited at this time.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 01/19/2022 at 12pm, Licensing Program Analyst (LPA), Bernice Karnsrithong arrived at Dimondale Adolescent Care Facility #3 for the purpose of conducting an annual inspection. LPA Karnsrithong met with Administrator, Leroy Wise who provided access and tour to the facility. The facility is licensed to provide care and supervision for six (6) clients ages twelve (12) to seventeen (17) and non-minor dependents. The current census for the facility is four (4). During the inspection, LPA Karnsrithong has reviewed three (3) staff and three (3) client files. LPA Karnsrithong has interviewed two (2) staff and one (1) client during the inspection. The facility is located in a residential neighborhood. There is one (1) SUV parked in the driveway that is being used as a facility vehicle. The facility vehicle is good working condition. Facility vehicle is kept clean and being washed on a weekly basis. Clients are provided in-house activities such as (Barbeque Boogie, Crafts, Karaoke Night). Clients are also provided special incentives when meeting their goals and taken to outings. Weekly schedule of clients is posted in the office area located next to the living room. The reception area is located across the front door where guest sign-in and COVID-19 check in procedures are conducted. CARF Accreditation for the facility is valid until October 31, 2023. During the inspection LPA Karnsrithong has observed the following: Living Room/Common Area: The living room is located in front of the entryway. There is a television and couch for clients to use. There is a shelf with books and games. There is an office area for direct care staff that has a computer, copy machine, table and chairs. Licensing postings are posted in the office area in the living room. There is an air-conditioned wall unit in the living room area. There is video game console that clients may use located next to the television. Dining Area: The dining area is next to the kitchen and across the living room. There is a long table with chairs. Clients may access the dining area at anytime. (Page 1 of 3) Office: There is an office and a sliding door separates if from the direct care office area that is located in the living room. There is huge table and multiple seating for administrative staff to use. Child Family Team (CFT) Meetings are also held in the office. There are locked cabinets in the office room and is being used to store hygiene supplies, toiletries, linens, and snacks. There is a refrigerator inside the office to store extra perishable food items for the facility. Knives and other sharp objects are locked in a cabinet inside the office room. Medications are stored and locked in a cabinet inside the office. A first aid kit is available in the office room. There is one (1) staff bathroom in the office room that has a toilet and a sink in good working condition. Kitchen Area: The kitchen area next to the entryway. Kitchen has ample storage. Refrigerator and freezer are fully stocked with sufficient food. Cabinets and pantry are fully stocked with the essential dry and non-perishable foods. Menu is posted in the kitchen. There is a four (4) burner stove and a crockpot to be used to make meals. There is a sink and a dishwasher in the kitchen. The dishwasher is currently not being used. Dishes and pots, pans, and utensils are stored in the kitchen are being washed by hand. Bedrooms: There are three (3) bedrooms in the facility. There are two (2) twin sized beds, closet, lighting on each bedroom. There in enough storage space for clients to store their personal belongings. Bedroom #1's window is broken due to an incident that occurred with a client on 01/16/2022. Administrator has informed LPA Karnsrithong that a maintenance company is scheduled to come back in the next two (2) weeks to replace and repair the broken window. Window is covered up and secured. The bedroom carpet has multiple visible stains and trash such as empty food packaging and hair products. Cleaning party is scheduled on Friday per administrator to clean carpet flooring. Bathrooms: There are two (2) client bathrooms and one (1) staff bathroom. One client bathroom is located in the hallway. It has a toilet, sink, and shower.The other client bathroom is located in Bedroom #2. This bathroom has a working toilet, sink, and a shower. The staff bathroom is located in the office room. (Page 2 of 3) Outside Area: The front lawn of the facility is not fenced in. There is a driveway in the front yard. There are trees and grass at the front yard of the facility. There is a detached office located at the back of the facility. This office is used for therapeutic services and private meetings. There is table, chairs, and couch inside this office. There is an air condition unit and a fan in this office as well. A first aid kit and fire extinguisher is also available in the Therapy Room. This room remains locked when not in use. There is sports equipment in the backyard for clients to use. There are fruit trees in the backyard. The backyard is fenced in.Trash bins are placed in the backyard. Utility shut off valves are located in the side of the house. Garage: The facility has a detached two-car garage in the front yard. The garage is being used to store holiday decorations, client luggage, bags, and extra clothing supplies. There are two (2) wall shelving units in the garage. A deficiency is cited at this time based on: Title Division Article Section 80087 (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. Plan of correction is discussed with the licensee. Exit interview was conducted and a copy of this report will be emailed to the licensee.

met_with: Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On 02/03/2022 at 2:30pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a Plan of Correction (POC) visit. LPA Karnsrithong met with Facility Supervisor, Jamie Roberts who granted access and tour to the facility. The current census of the facility is four (4). During the visit there were four (4) staff on site. During the visit, LPA Karnsrithong observed that the bedroom carpets had multiple stains and some areas were ripped. There was a white stain on Bedroom#3. There were visible dirt from the bedroom carpet floors. There was a hole behind the bedroom door that was patched up. There were visible pen stains on the client bathroom. Facility Supervisor stated that they had a carpet cleaning company come in to the facility on January 26, 2022. Facility Supervisor stated that on the January 28 or January 29, 2022 a client spilled powder sugar on the bedroom carpet in Bedroom#3. Facility Manager stated the carpet was vacuumed by staff the morning of January 30 and the next day. Facility Manager stated that they vacuumed every morning or when the clients are in school. Facility Manager said that one of the clients had a pen spill ink on the bathroom sink this week. Based on the observation, the facility the Plan of Correction requirements were not met. The Facility will be cited for incompliance to the California Code of Regulations (CCR) Buildings and Grounds 80087(a) which states, The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. Exit interview was conducted with Facility Supervisor, Jamie Roberts and appeal rights were discussed. A copy of the report, the amount of civil penalty assessed, and appeal rights were provided to the facility. The civil penalty amount charged today is $100.

met_with: Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 02/17/2022 at 9:20am, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a Plan of Correction (POC) visit. LPA Karnsrithong met with Facility Supervisor, Jamie Roberts who granted access and tour to the facility. The current census of the facility is five (5). During the visit there were four (4) staff on site. During the visit LPA Karnsrithong has observed the following: The living room has two (2) futon couches and a media center table. There is TV Wall Mount in the living room as well. The dining area is attached to the living room that has a dining table and chairs. The living door that leads to the backyard is broken but is boarded up with plywood. Facility Supervisor stated that a client has broke the facility TV and the back door. She stated that they are in the process of ordering a new door. The carpet floors in all bedrooms are newly installed and free of strains. Bedroom#1 is currently occupied by two (2) clients. The carpet floor is clean and has no visible stains. Windows in Bedroom#1 are broken but is boarded up with cardboard and there are no nails or debris that is sticking out. Facility Supervisor stated that the window glass has to be special ordered and is scheduled to come by this week. The windows were broken due to an incident that occurred on 02/07/2022 between clients. Bedroom #2 is currently occupied by one (1) client. The bedroom carpet is new and there are no visible stains. Bedroom #3 is currently occupied by two (2) clients. The carpet is new and there are no visible stains. There are pieces of clothing and food packaging on the floor. The hole behind the door in Bedroom #3 has been repaired and covered up. Two (2) staff were observed to be cleaning Bedroom #3. Facility Supervisor stated that clients in Bedroom #3 have a hard time cleaning up and have challenges with hygiene. The bathroom in Bedroom #3 has pieces of clothing as well and is not well maintained. Facility Supervisor informed staff that client may have soiled clothing in the bedroom that needed to be washed and cleaned. Staff is scheduled to clean Bedroom #3 bathroom today as well. (Page 1 of 2) Client hallway bathroom has a broken mirror that is boarded up. The bathroom cabinet doors are broken. Facility supervisor stated that this was damaged by a client on 02/07/2022. She stated that the facility is ordering new bathroom cabinets and is scheduled to arrive and be installed today. Facility Supervisor stated that corporate keeps all maintenance and service order documentation. Facility Supervisor stated that the facility sends in all the receipts and invoices to corporate once received. LPA Karnsrithong has discussed maintenance, repair, and cleaning schedule documentation with the Facility Supervisor to ensure the health and safety of all clients and staff. Based on observation and interview, the facility the Plan of Correction requirements were met. Recommendations were provided to the Facility Supervisor to ensure compliance of California Code of Regulations and Health and Safety Code. There were no deficiencies cited at this time. Exit interview was conducted with the Facility Supervisor and a copy of this report will be provided to the facility. (Page 2 of 2)


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem conducted a case management inspection on March 23, 2022 at 10:30am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 4 out of Direct Care Staff and 5 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated March 23rd, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Sethany Yem observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Angi Franklin, Administrator.

met_with: Administrator Angie Franklin


summary: Facility Evaluation

raw_content:
Narrative:
On 04/21/2022 at 10am, Licensing Program Analyst (LPA) Bernice Karnsrithong made an unannounced visit for the purpose of conducting a Case Management-Incident regarding Special Incident Report (SIR) #805779. Health and safety assessment were conducted upon arrival and COVID-19 protocols were observed. LPA Karnsrithong met with Jamie Roberts, Facility Supervisor. LPA Karnsrithong met with Jamie Roberts, Facility Supervisor who granted access to the facility. During the visit, LPA Karnsrithong had conducted confidential interviews and reviewed documentary evidences. During the visit, not all parties were available for interview. At this time, there are no sufficient information to render a decision. There are no deficiencies cited at this time and an exit interview was conducted with Jamie Roberts, Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 04/22/2022 at 10am, Licensing Program Analyst (LPA) Bernice Karnsrithong made an unannounced visit for the purpose of conducting a Case Management-Incident regarding Special Incident Report (SIR) #806394. Health and safety risk assessment were conducted upon arrival and COVID-19 protocols were observed. LPA Karnsrithong met with Jamie Roberts, Facility Supervisor who granted access to the facility. During the visit, LPA Karnsrithong had conducted confidential interviews and reviewed documentary evidences. During the visit, not all parties were available for interview. At this time, there are no sufficient information to render a decision. There are no deficiencies cited at this time and an exit interview was conducted with Jamie Roberts, Facility Supervisor.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/18/2021, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility at 9:30am for the purpose of conducting a Case Management due to incident reporting in Special Incident Report (SIR)#805779 regarding a client receiving unwarranted threats by an adult individual while she was at the facility on 04/02/2022. Health and safety risk assessment were conducted upon arriving at the facility. The SIR stated that Client #1 has been receiving threats over the phone from an adult that was planning to do harm to Client #1 while under the care of the facility. During the visit, LPA Karnsrithong conducted one (1) confidential interview and reviewed documentary evidences. Not all parties were available at the time of the visit so this Case Management-Incident would need further investigation. There are no deficiencies cited at this time and an exit interview was conducted with Leroy Wise, Facility Administrator. A copy of this report will be provided to the facility.


summary: Facility Evaluation

raw_content:
Narrative:
On 05/18/2021, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility at 9:30am for the purpose of conducting a Case Management due to incident reporting in Special Incident Report (SIR)#806394 regarding a client that was arrested while she was on runaway status on 04/06/2022. Health and safety risk assessment were conducted upon arriving at the facility. The SIR stated while Client #1 was on runaway status, Client #1 was picked up by Los Angeles Police Department-West Valley Division Station for assaulting another individual. During the visit, LPA Karnsrithong conducted one (1) confidential interview and reviewed documentary evidences. Not all parties were available at the time of the visit so this Case Management-Incident would need further investigation. There are no deficiencies cited at this time and an exit interview was conducted with Leroy Wise, Facility Administrator. A copy of this report will be provided to the facility.

met_with: Leroy Wise, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/27/ Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility at 11:30am for the purpose of conducting a Case Management due to incident (Special Incident Report) (SIR)#806394 regarding a client that was arrested while she was on runaway status on 04/06/2022. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Kelsey Padilla, Direct Care Staff and Medical Coordinator for Dimondale Adolescent Care #3. The SIR stated while Client #1 was on runaway status, Client #1 was picked up by Los Angeles Police Department-West Valley Division Station for assaulting another individual. Client #1 was involved in a physical altercation with an adult individual while on runaway status. Law Enforcement notified Dimondale Adolescent Care #3 and Client #1 was picked up by staff and brought back safely to the facility. Based on the Incident Report and confidential interviews conducted with five (5) staff, statements were inconsistent and did not produce corroborating evidence to support that staff are not complying with emergency intervention procedures when clients go AWOL and offer medical treatments to clients if they were injured upon return from AWOL. This Case Management-Incident has been found to be unsubstantiated meaning there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. This investigation has been closed. Exit interview was conducted with Kelsey Padilla and a copy of this report will be provided.

met_with: Kelsey Padilla, Direct Care Staff/Medical Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/27/2022, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility at 11:30am for the purpose of conducting a Case Management-Incident due to a Special Incident Report (SIR)#805779 regarding a client receiving unwarranted threats by an adult individual while client was at the facility on 04/02/2022. Health and safety risk assessment was conducted upon arrival. The SIR states that Client #1 has been receiving threats over the phone from her boyfriend telling her that he would come to do the facility to and planned to harm Client #1. Based on the Incident Report and confidential interviews conducted with five (5) staff, statements were consisted that staff notified law enforcement and complied with emergency intervention policies to ensure child's safety. There was no corroborating evidence to prove that a violation has occurred, and this case management-incident has been found unsubstantiated. There are no deficiencies cited at this time. Exit interview was conducted with Kelsey Padilla and a copy of this report will be provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 08/10/2022 at 1:30pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a case management-incident regarding Special Incident Report (SIR) #819780. Health and safety risk assessment was conducted upon arriving at the facility. LPA Karnsrithong met with Leroy Wise, administrator who granted access to the facility. The current census for the facility is six (6) and during the visit there were four (4) staff on site. The SIR stated that on 07/11/2022 clients returned to the facility from a community pass, but no staff were on site. During the visit, LPA Karnsrithong conducted five (5) confidential interviews and toured the client bedrooms. Not all parties were on site at the time of the visit. This case management-incident needs further investigation. LPA Karnsrithong observed that the bedrooms have two (2) twin size beds with mattress and clean linens. LPA Karnsrithong observed that the windows have no screens attached but it was free of debris or insects. All outdoor and indoor passageways were free of any potential hazard or obstruction. A work order has been placed on August 8, 2022 for the window screens to be repaired. A technician from South Bay Windows and Screens is scheduled to come this week to complete the repair. There are no deficiencies cited at this time. Exit interview was conducted with Administrator and a copy of this report will be provided.


summary: Facility Evaluation

raw_content:
Narrative:
On September 27, 2022, Licensing Program Analyst (LPA) C. White arrived at the above facility, for the purpose of conducting a Plan of Correction (POC) inspection in order to clear the deficiencies cited during Complaint 34-CR-20220822085329, which was issued 09/02/2022. LPA met with Administrator Interim, Ashley Ross. During this visit Administrator Interim, provided LPA with tour of the home and receipts for the fans as well as the floorboard work completed in the laundry area. Both deficiencies were cleared at the time of the inspection. A copy of this report was left with facility staff.

met_with: Administrator Interim - Ashley Ross


summary: Facility Evaluation

raw_content:
Narrative:
On July 03, 2024, Licensing Program Analyst (LPA) C. White and Licensing Program Analyst (LPA) K. Dear made an unannounced visit to Dimondale Adolescent Care Facility #3 for the purpose of conducting a Case Management for Special Incident Report. The incident occurred on 06/22/2024 and the report was received by the Department on 06/27/2024. LPA's met with Facility Supervisor, Rashanda Stuart. During this visit, confidential interviews were conducted. LPA requested a copy of LIC 500, Client Roster, and the Internal Investigation. Additionally, LPA was informed staff involved are no longer employed. Based on the information obtained, this incident needs further investigation. There were no deficiencies cited during this visit. Exit interview conducted and a copy of the report was left with Facility Supervisor.

met_with: Rashanda Stuart - Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dahl Larios conducted a case management inspection August 8, 2024, at 9:28 am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, dated August 8, 2024). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Dahl Larios observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Area Manager Lakeisha Williams.

met_with: Area Manager Lakeisha Williams


summary: Facility Evaluation

raw_content:
Narrative:
On January 23, 2025, Licensing Program Analyst Connie Jones-Steward met with Administrator in Training Elisha Chapman to conduct the Required-2-year inspection. The following was observed: There are currently five clients in placement. The STRTP is housed in a three bedroom, three bathroom home located in a residential area of the City of Hawthorne, CA. There is a back house that serves as the therapists office. There are no security bars on windows, no swimming pool on the premises and no firearms in the home. Kitchen/Dining Area/Den: There is a dining room table that seats six. The stove and refrigerator are clean and in working order. The trash can is covered. There are two futons/sofas in the common area for clients to sit on. There is a big screen TV for client entertainment. Food Service: There is enough perishable and non-perishable food in the home to meet Title 22 regulations. There is a current menu posted. Bathrooms: There are three bathrooms that are neat and clean. Water temperature is within the safe range. Bedrooms: There are three bedrooms with two twin beds each. Each bedroom has the required drawer and closet space. All beds have linens in good condition. Fire Safety/Yard: The front and back yards are free of hazards. There are working smoke detectors in the hallways and in each bedroom. There is a carbon monoxide detector in the hallway. The fire extinguisher is fully charged. Floor plan and Emergency Disaster Plan is posted. The last disaster drill was documented as having been conducted on 12/31/2024. Medical/First Aid: All medications are safely stored. There is a supply of first aid items. All court orders are current Client Records: LPA Jones-Steward checked client records and found them to be substantially complete. Staff record review will be conducted a future date. Client and staff interviews will also be conducted at a future date. There were no deficiencies cited on this date.

met_with: Elisha Chapman, Administrator In Training


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with area administrator Raven Morrow to discuss SIR 1251403, CM 0001535-FN. A client alleged that a former male staff member was seen by her to be watching pornography on his telephone and that he showed pornographic photos to her and another client that no longer lives at the facility. Per Ms. Morrow, the former staff had already handed in his resignation a month prior and that C1 made the allegations a day before his final date. Per Ms. Morrow, the police were called and they interviewed C1. However, they did not take a report because of conflicting accounts from C1. She does not know if S1 was interviewed. No action was taken against the staff other to tell him to leave the premises during the pending investigation. S1 went to headquarters and picked up his final check. She has not heard from S1 since he left. LPA also interviewed C1. At this time more information is needed.

met_with: Raven Morrow


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst arrived at the facility at 10: AM to complete the annual inspection. LPA reviewed three employee files including the interim administrator and two direct care workers. LPA found that all reviewed files contained documentation of the required experience and education for the job. LPA verified that files contained evidence of the required annual training. LPA also interviewed two clients. There were no deficiencies cited as a result of this inspection.


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

Investigation Findings:
13On December 10, 2025 at 4pm, Licensing Program Analyst (LPA) Donald Martin conducted a follow up complaint inspection and spoke with Facility Supervisor, Cassandra Grant. The purpose of this inspection was to deliver findings for the above complaint allegation. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegation occurred. There was no evidence that Staff are not addressing minors' multiple AWOL's. Documentation and confidential interviews were consistent with the facility program statement and produced no evidence of a lack of supervision during clients elopements. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #3FACILITY NUMBER: VISIT DATE: 12/10/2025

met_with: Cassandra Grant-Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 08/24/ Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility at 11am for delivering findings for case management-incident. Health and safety risk assessment was conducted upon arriving at the facility. The Special Incident Report (SIR) stated that on 07/11/2022 clients reported to morning staff that on 07/10/2022 after returning from community pass, there was no staff onsite to receive clients. Staff were offsite on an outing. LPA Karnsrithong met with Ashley Ross, Interim Administrator. During this case management-incident, LPA Karnsrithong conducted confidential interviews and reviewed documentary evidences. Based on confidential interviews and documentation received, staff on 07/10/2022 were not present when clients came back from a community pass later that evening. Statements and documentary evidences were consistent that two (2) staff members accompanied clients to an outing in the mall, while two (2) clients were out on a community pass. Facility is cited for incompliance with Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards Article 6, 87065. Direct Care Staff/Child Ratios which states: (a) In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty direct care staff for every three children, or fraction thereof, present, at a minimum. (3) In addition to staff required in paragraph 1 or 2, when one or more children are present at the facility, at least one direct care staff shall be on call and capable of arriving at the facility site within 30 minutes. This is a Type A violation as it is an immediate risk to the personal rights of children in care. Exit interview, plan of correction, and appeals were discussed with Interim Administrator.

met_with: Ashley Ross, Interim Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with area administrator Raven Morrow to discuss SIR 1252565, CM 0001542-FN. Per Ms. Morrow, C1 arrived at the facility on 02/21/25 from juvenile hall and she came with a prescription for medications. Ms. Morrow further stated that due to the medication coordinator leaving and other staff not being familiar with C1's prescriptions, C1 did not receive her medications for a three day period of time. Ms Morrow stated that all staff who were involved are in the process of being disciplined and re-trained on medication handling. Ms. Morrow stated that C1 did not suffer any negative results of not receiving her medication. The facility was cited under Title 22 87075(c), Health Related Services.


facility_name: DIMONDALE ADOLESCENT CARE FACILITY #4

raw_content:
Investigation Findings:
13On September 8, 2022 at 2: PM, Licensing Program Analysts (LPA) C. White conducted an unannounced visit to Dimondale Adolescent Care Facility #4 for the purpose of delivering findings on the above allegations. LPA met with Direct Care Staff, Rashanda Stuart, and discussed the complaint findings. During the course of this investigation, LPA interviewed pertinent parties. Staff confirmed the facility does not have an air conditioning throughout the home. Client interviews revealed the bedrooms are hot and the fans provided do not work to cool rooms down. Based on interviews and information obtained, the department has determined the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated per California Code of Regulations Title Division Chapter 5. Facility cited for violation of California Code of Regulations, Title Division 6, regulation 80088(a)(1) Fixtures, Furniture, Equipment and Supplies; and 80087(a) Buildings and Grounds. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #4FACILITY NUMBER: 197804638

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

met_with: Direct Care Staff - Rashanda Stuart


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

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

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

met_with: Samone Kelly-Administrator