summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on witness, client, & staff testimony evidence, and records review, LPA concludes that S5 is an employee and therefore should have a personnel file created and maintained by the facility. Because S5 has access to the facility and regularly provides care, supervision, and services to the clients, S5 should be considered an employee, and a staff file should be created and maintained. Based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has been met; therefore, the allegations of "Personnel record not maintained on file for staff" are found to be substantiated. Deficiency cited see LIC 9099-D. Exit Interview Complete. A copy of this report was given to the Administrator .

Investigation Findings:
13On 10/3/25 at 10: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Administrator Thomas Washington for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Multiple testimonies from clients and staff confirmed that S5 is a staff member of the company who has access to the facility and regularly provides care, supervision, and services to the clients. S5 does have the proper clearance and is associated to the facility, but S1 shared that S5 is not an employee and therefore there is no staff file for S5. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: VISIT DATE: 10/03/2025

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

met_with: Administrator Thomas Washington

complaint_status: SUBSTANTIATED


state: CA

facility_name: MINDFUL GROWTH FOUNDATION

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
LPA was able to review logs for staff emergency intervention training. All staff affirmed that they were trained and are periodically refreshed in the emergency intervention plan. LPA was able to review the facility's finances/logs and did not see any evidence of funds being misused. Client and staff testimonies stated that staff are always present and available night and day. LPA found no evidence of staff leaving clients unattended. Staff admitted that there was a client transfer in August, but all staff testimonies shared that the transfer was smooth, happened in a timely manner, and no one refused to meet with the social worker. LPA found no evidence of staff refusing to meet with a social worker or refusing to relocate a client. Exit Interview Complete. A copy of this report was given to the Administrator .

Investigation Findings:
13(This document is being amended, allegations: "Overnight staff left clients unattended." is being changed to unsubstantiated. Report is being signed by Facility Manager Adrian P.) On 10/3/25 at 10: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Administrator Thomas Washington for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Regarding staff experience and education standards, LPA was shown the hiring and review process, which involved adequate background checks and verification of a person's experience and education, specifically through the Board of Behavioral Science website resource. Regarding reporting restraints, all staff and client interviews confirmed that there have been no restraining incidents at the facility; therefore, there is no missing report involving restraints. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: VISIT DATE: 10/03/2025

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13(This document is being amended, allegations: "Lack of supervision resulting in a non-resident sleeping overnight in the home." is being changed to substantiated.Report is being signed by FM Adrian P.) On 11/26/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the company office and met with CEO Jenero Jefferson for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Staff testimonies all admitted that there was an incident where a non-client snuck into the facility and stayed that night, and the night shift staff did not know. The non-client was eventually caught by the morning staff. The facility did respond to the situation by writing up the overnight staff and providing them with extra training. The facility has admitted to the incident as an example of overnight staff not providing care and supervision. Based on staff testimony evidence, LPA concludes that the event did happen, and overnight staff did not provide adequate care and supervision to the clients in care.Based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has been met; therefore, the allegation of "Lack of supervision resulting in a non-resident sleeping overnight in the home" is found to be substantiated. Exit Interview Conducted. A copy of this report was given to the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: 198209759

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

met_with: CEO Jenero Jefferson


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
During review LPA also observed S9's resume to not be in compliance with the facilities Director of Residential Services (RD) job description. The RD job description states that the qualifications must include a Masters degree, LPA observed S9 to only have a Bachelors Degree. This is a violation of the job description, which overall is a violation of the facilities plan of operation. Based on records review, LPA observed 2 staff to not have the proper qualifications for their positions based on the CCL regulations and the facility's job description. Therefore, based on the available information LPA gathered from records reviews, the preponderance of the evidence standard has been met; therefore, the allegation of "Staff do not meet experience and education standards" is found to be substantiated. Exit Interview Conducted

Investigation Findings:
13On 1/7/26, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Adrian Pascascio for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA requested and received copies of the facility job description for Direct Support Staff (DSS) and the Director of Residential Services. LPA also received copies of the resumes for DSS staff members and the Residential Director (RD). LPA reviewed these documents along with the Section Personal Requirements Regulations. During review LPA observed S4's resume to not be in compliance with the Section 87065 regulations. S4's resume did not show any previous education or work experience with minors, education, or any related subjects, which is a violation of Section 87065 (g) (1) (A) Personal Requirements Regulations. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATIONFACILITY NUMBER: VISIT DATE: 01/07/2026

met_with: Facility Manager Adrian Pascascio


facility_name: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSE

summary: Facility Evaluation

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

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Jenero Jefferson, CEO


summary: Facility Evaluation

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

met_with: Jenero Jefferson


summary: Facility Evaluation

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

met_with: Jenero Jefferson, Jasmine Sampson


summary: Facility Evaluation

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

met_with: Garrin Davis Chief of Operations


summary: Facility Evaluation

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

visit_type: Annual

met_with: Thomas Washington, Administrator


summary: Facility Evaluation

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


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

Investigation Findings:
13On 12/11/25, at 10:20am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Manager Isaac Williams. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, client rosters, Needs and Services plan, and pictures taken at initial visit (10/10/25). During the investigation, LPA made two attempts to interview clients at the facility. LPA was only able to obtain one client interview while other clients declined to be interviewed. It was reported that (1) "Staff do not provide adequate supervision resulting in minors engaging in inappropriate behavior", (2) "Staff did ensure facility has an adequate amount of food supply", (3) "Staff allowed minors to smoke", (4) "Staff did not safeguard minor's personal belongings", and (5)"Staff did not keep minor's personal information confidential". LPA reviewed LIC500-Personnel Report and confirmed that an equal number of female/male staff work at the facility to make the facility safe and comfortable. See Lic9099-c. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: VISIT DATE: 12/11/2025

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

met_with: Facility Manager-Isaac Williams


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

Investigation Findings:
13On 12/11/25, at 10:20, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Manager Isaac Williams. During the investigation, LPA Andrea interviewed all available parties and reviewed LIC500-Personnel Report, picture of expired vehicle registration. It was reported that 1. "Facility vans do not have current registration". On 10/10/25, LPA Andea requested to see current vehicle registration. LPA received an expired vehicle registration dated 09/14/25. Picture of the expired vehicle registration was reviewed; the preponderance of evidence standard has been met. Therefore, the allegation "Facility van does not have current registration" is SUBSTANTIATED. Per Title 22, Article 3, Section 80022 (k)-Plan of Operation is being cited. (See LIC9909D). Exit interview was completed and copy of the report and appeal rights were discussed and provided to Facility Manager Isaac Williams. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: 198209802

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

met_with: Facility Manager Isaac Williams


summary: Facility Evaluation

raw_content:
Narrative:
On March 5, 2025, at 1: PM, Licensing Program (LPA), Erika Butler arrived at the above facility for the purpose of conducting a Case Management - Other inspection. LPA met with Garrin Davis and Jasmine Sampson and a tour of the facility was conducted. LPA conducted a health and safety assessment prior to entering the facility. The current census is zero. Upon LPA's arrival to the facility, five unidentified males were observed on the porch. The odor of marijuana was emitting from their location, and they were observed to be consuming alcohol. Cigarette butts and bottle tops were observed on the lawn. Empty bottles of Hennessey, 1942, Casa Azul, and Pom Pom red tobacco wrapping were observed in the trashcan on the side of the home. LPA approached, identified self, and determined that individuals were not associated to the facility. During the inspection LPA toured the facility to observe that Technical Assistance Advisory Notes issued on January 24, 2025, were corrected. LPA observed facility to clean, sanitized, and free of hazards. Bedroom #1 was equipped with one twin size bed with clean bedding. Bathroom #1 was clean, and toilet was observed to be operable. Continued LIC 809C Kitchen was not observed to have a trash can with tight fitting lid. Kitchen was also observed to have enough plates, and cups, no pot and pans, and no utensils for children in care. Facility cited for violation of ILS for STRTP, regulation Buildings and Ground. Five unknown males were observed on the porch of the facility and the smell of marijuana was emitting from their location and cigarette butts and Pom Pom tobacco wrapping were observed. 87088 (c)(1) Fixtures, Furniture, Equipment and Supplies. Bedroom #1 was observed to not have required bed and bedding for the number of clients facility is licensed to care for. California Code of Regulations, Title Division Six, regulation 80088 (f)(1) Fixtures, Furniture, Equipment and Supplies. Kitchen was observed to not have a trashcan with tight fitted lid. Exit interview was conducted and a copy of this report will be emailed to Garrin Davis.

visit_type: Case Management


raw_content:
Narrative:
During a confidential interview with the alleged perpetrator, it was indicated that they did not touch C1 inappropriately and did not make any comments about pimps or anything sexual to C1. It was reported that no other clients corroborated the allegations or witnessed inappropriate behavior from the alleged perpetrator. The allegations are determined to be unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. There are no deficiencies cited per California Code of Regulations, Title 22, at this time. A copy of this report was provided to Facility Manager and Facility Administrator via email.

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

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

met_with: Nick Winn, Facility Manager


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on video evidence and staff interviews there was at least one incident where clients in care spared and threw punches at each other for at least four minutes without any staff knowledge or intervention. This is an example of a lack of care and supervision from the staff and facility to prevent clients from fighting. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has been met; therefore, the allegation of "Staff do not intervene when minor fight with other minors" is found to be substantiated. Exit Interview Conducted

Investigation Findings:
13On 1/7/26, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Isaac Williams for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed staff and clients. Staff interviews stated that there has not been any fights or physical altercations between clients in the facility. Current client interviews shared that they have not fought in the facility. During the course of the investigation, LPA received video evidence of clients play-fighting and sparing each other in the facility. The video was around 4 minutes long and showed at least 4 clients sparing each other and throwing punches at each other. There was a fifth client who was filming the incident. When questioned, all staff interviews shared that they had never seen the video before and had never heard of or experienced any incident like it in the facility. All staff admitted that the play fighting and sparing that was happening between the clients is against the house rules and should have been prevented by the present staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: VISIT DATE: 01/07/2026


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
LPA did not observe any evidence of staff working at the facility without the proper clearance. The facility has a central administrative waiver where they associate their staff with one central facility. Based on staff & client interviews and records reviews evidence, LPA observed the medication and the MAR to all be in order and filled out correctly with staff accurately knowing how to administer meds and fill out the MAR. LPA also observed the all staff on the LIC 500 and working in the facility to have the proper criminal record clearance. All interviews from staff and clients shared that staff fill out the MAR correctly and all staff are cleared before working at the facility. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff are not Criminally Record Cleared & Staff are not filling out the MAR correctly" is found to be unsubstantiated. Exit Interview Conducted

Investigation Findings:
13On 1/7/26, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Isaac Williams for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed staff and clients. All staff interviews shared that they have the proper criminal record clearance, and were cleared before starting work in the facilities. All staff interviews also shared that staff fill out the MAR correctly and do not falsify information on the MAR. All client interviews shared that they have never had any issues with their medication being given to them. LPA observed one staff administer medication to a client and then correctly fill out the MAR. LPA performed a pill count and reviewed the medication records, including the MAR and the medication labels. LPA did not observe any discrepancies or mistakes on the MAR. LPA reviewed the MAR with a staff member who was able to accurately explain how the MAR works and how the staff notates clients taking their medication, refusing it, or missing it due to being AWOL. LPA also reviewed the LIC 500 (staff roster) and the staff clearances on Guardian. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: VISIT DATE: 01/07/2026


raw_content:
Narrative:
During the course of the investigation, LPA received testimony evidence that conflicted with the allegation. According to all witnesses, client and staff testimonies, while C1 and C2 tried to have an inappropriate relationship and interactions with each other, the facility staff always properly responded by discouraging and preventing it, while offering therapy and alternative help. Due to the age of the complaint and some declined interviews, LPA was not able to interview all clients involved in the allegations. Based on testimony evidence and lack of supporting evidence to the allegation, C1 and C2 tried to have an inappropriate relationship and interactions with each other. LPA could not determine whether the staff's response was inappropriate, and a lack of supervision in preventing clients from having inappropriate interactions. Therefore, based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Lack of staff supervision resulting in inappropriate interaction between children in care" is found to be unsubstantiated. Exit Interview Conducted

Investigation Findings:
13On 3/18/26, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Isaac Williams, Facility Manager for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All interviews shared that C1 and C2 did try to have an inappropriate relationship with each other. Staff and client interviews admitted that C1 and C2 did try to share beds with each other and were dating each other while at the facility. Staff, client, and witness interviews also stated that the facility knew about the relationship and client interactions and always tried to prevent and discourage any inappropriate interactions and dating between clients. All interviews shared that staff were aware of the situation and took the appropriate steps to always provide care and supervision. Staff shared that they increased supervision of the clients and addressed issues in therapy meetings. Client and witness interviews shared that staff were always present and on top of the situation, and expressed no concern or complaints regarding staff care and supervision. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION - GRAMERCY HOUSEFACILITY NUMBER: VISIT DATE: 03/18/2026

met_with: Isaac Williams, Facility Manager


raw_content:
Investigation Findings:
13On April 16 2026, at 9:41 am Licensing Program Analyst (LPA), Kenrick Ellis conducted an unanounced visit to the above facility to conclude the complaint investigation and to deliver the findings. Prior to entering the facility LPA Ellis conducted a health and safety risk assessment. LPA Kenrick Ellis is delivering findings for the complaint investigation conducted by LPA Gray. During the investigation, LPA Gray interviewed all relevant parties available and gathered pertinent information in reference to the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine, the facility lacks sufficient supervision for minors in care and that staff behavior poses a risk to minors in care. Records confirm that staff were in ratio to monitor and provided proper supervision 24 hours 7 days a week and document daily shift reports for weekend, morning, swing, overnight observation, and supervision. Confidential interviews were congruent that staff provided proper supervision, utilized PRO-ACT Hands off crisis communication, verbal intervention techniques to de-escalate, redirect and encourage clients to be compliant and to make better choices. Staff notified the clients authorized representatives, assured of meeting the needs of client in placement as evidence of obtaining the Los Angeles County DCFS /Needs and Services Plan; conducted Child & Family Team Planning Matrix (CFT); submission of receipts for grocery, clothing, and allowance receipts. The facility transported clients to activities within the community, arranged for clients to be transported to school via Hop Skip Drive and staff provided transportation as well. Several iTrack Special Incident Report/s were written in the proper time frame, law enforcement and Psychiatric Mobile Response Teams (PMRT) were notified to in the event of crisis to ensure the safety of clients and staff. Upon discharge the client was provided with a referral to an alternate residential program to meet their needs. Due to lack of evidence obtained during the investigation. LPA Gray determined that the allegations of lack of supervision is Unsubstantiated at this time being, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided to the Program Administrator and Facility Manager UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Kenrick Ellis LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Beverly Stewart, Facility Manager


facility_name: MINDFUL GROWTH FOUNDATION 3RD AVE HOME

summary: Facility Evaluation

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


summary: Facility Evaluation

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


summary: Facility Evaluation

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


summary: Facility Evaluation

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

met_with: Nicholas Winn, Administrator


summary: Facility Evaluation

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


summary: Facility Evaluation

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

met_with: Nick Winn Facility Manager


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

Investigation Findings:
13On 12/11/25, at 9:10am, Licensing Program Analyst (LPA) Andrea Aceves made an unannounced visit to the above facility to conclude the investigation and to deliver the findings on the above allegations. LPA Andrea met with Facility Administrator Thomas Washington. LPA reviewed LIC500-Personnel Report and confirmed that an equal number of female/male staff work at the facility to make the facility safe and comfortable. Based on interview statements, LPA could not confirm the first and third allegations. Based on interview statements, S1 and S2 were mentioned as staff who reported every incident and would not allow for any type of drugs or smoking in the facility. LPA could not confirm if staff were sleeping while on shift resulting in minors engaging in inappropriate behavior. LPA had requested pictures as proof that staff were sleeping while on shift from complainant however, LPA never received documentation. In addition, LPA confirmed that an outing did take place between two houses (Gramercy and 3rd Ave) however, there were conflicting statements concerning unsupervised clients being involved in a physical altercation which could not be confirmed. Based on interview statements and review of Special Incident Reports (SIRs), LPA could not confirm that the fourth allegation of "Staff spoke to minor in an inappropriate manner" occurred since no dates or times were provided to LPA by C1.See LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: VISIT DATE: 12/11/2025

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


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

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


raw_content:
Narrative:
Based on staff testimony evidence, and records review, almost every interview from clients, staff, and witnesses shared that staff do not smoke with clients. Most interviews shared that staff discourage substance abuse, especially in the facility. LPA indirectly heard that one client alleged that a staff member smoked with them. LPA was not provided with or able to obtain any other evidence confirming this allegation. Therefore, based on the available information LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff smoked marijuana with minors in care." is found to be unsubstantiated. Exit Interview Conducted

Investigation Findings:
13On 12/18/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Nick Winn for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All staff interviews stated that staff do not smoke with clients in the facility. Staff interviews confirmed that most, if not all, clients do struggle with substance abuse, but staff never smoke with them. Some clients admitted to abusing substances and to sometimes doing it in the facility. Most clients said that staff discourage substance abuse in the facility. LPA indirectly heard that one client alleged that a staff member smoked with them. LPA was not provided with any other evidence confirming this allegation. LPA interviewed the Substance Abuse Counselor who meets with the clients once a week to discourage substance abuse. All witness interviews shared that staff do not smoke with the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: VISIT DATE: 12/18/2025


summary: Facility Evaluation

raw_content:
Narrative:
On 01/23/2026 at 11:22am, Licensing Program Analyst (LPA) Andrea Aceves, conducted an unannounced visit to Mindful Growth Foundation for the purpose of amending a complaint investigation report on the above allegations and obtaining a signature. LPA met with Facility Manager Nicholas Winn.

met_with: Nicholas Winn-Facility Manager


raw_content:
Investigation Findings:
13This is an amended report to previous LIC9099 dated 08/27/2025. On August 27, 2025 at 9:36am, Kenrick Ellis, Licensing Program Analyst (LPA), conducted an unannounced visit to Mindful Growth Foundation for the purpose of concluding a complaint investigation on the above allegations. LPA met with Nicholas Winn, Facility Manager, and discussed the complaint allegations. A health and safety assessment was conducted. During the investigation LPA Ellis conducted four client interviews and five staff interviews. During the investigation LPA Ellis also reviewed Personnel Report (LIC500), client roster, and incident reports. Social media videos were provided by the complainant. LPA observed a video where girls are dancing and chanting what appears to be at a memorial. In another video, LPA observed, clients dancing in the living room of the facility and staff supervising clients. In addition, LPA observed a video where client is holding a marijuana blunt, but location is unclear. Interviews did not produce evidence to support the allegations. During the investigation there were no statements or evidence to indicate that facility staff allow minors to smoke marijuana and vape pens inside the facility. Statements indicated that staff intervene when minors engage in inappropriate behaviors or have any contraband in the above facility. Per incident reports and interviews, staff conduct room checks and confiscate any drug paraphernalia. Per interview statements and review of videos, clients do not engage in inappropriate behaviors while under supervision at the facility. LPA Ellis was unable to determine if the above-said allegation occurred, therefore the allegation is determined to be unsubstantiated. There were no deficiencies cited at this time. Exit Interview was conducted with Facility Manager Nicholas Winn and a copy of this report was provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Andrea Aceves LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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

met_with: Nicholas Winn, Facility Manager


raw_content:
Narrative:
During the course of the investigation, LPA received conflicting testimony from clients, staff, and witnesses. While all interviews admit that the physical altercation took place, there were different stories regarding how long the fight lasted and how the staff intervened. LPA was unable to conduct some key interviews with involved ex-staff and clients due to them denying interviews. LPA reviewed the applicable SIR's, which stated that the staff tried to de-escalate previous situations and keep the clients separate from each other. The reports also confirmed that staff called for medical support for the clients. Based on conflicting testimony and lack of evidence, while the physical altercation did happen, LPA could not determine whether the staff's response was inappropriate in preventing or reacting to the fight. Therefore, based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff did not prevent non-minor dependent from engaging in physical altercations with other non-minor dependents in care" is found to be unsubstantiated. Exit Interview Conducted

Investigation Findings:
13On 3/5/26, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Adrian Pascascio for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All staff, client, and witness interviews shared that a non-minor dependent engaged in physical altercations with another non-minor dependent. One client's testimony claimed that the staff took too long to intervene in the fight due to a lack of care and supervision. Staff and witness interviews claimed that staff acted appropriately and in a timely manner, stopping the fight and providing/getting medical assistance. LPA reviewed the submitted SIR, which explained how staff got involved and broke up the fight, discouraging any physical altercations. Some involved clients and ex-staff denied any interviews for the investigation. Most staff and clients involved in the incident were no longer present at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: VISIT DATE: 03/05/2026


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Based on testimony, records, and photo evidence, a physical altercation between clients happened, which resulted in a client sustaining injuries while in care at the facility. Therefore, based on the available information LPA gathered from interviews, the preponderance of the evidence standard has been met; therefore, the allegation of "Non minor dependent sustained injuries while in care" is found to be substantiated. Exit Interview Conducted

Investigation Findings:
13On 3/5/26, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Facility Manager Adrian Pascascio for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All staff, client, and witness interviews shared that a non-minor dependent engaged in physical altercations with another non-minor dependent. The SIR stated that a client received injuries and was taken to the hospital via an ambulance. LPA also received photo evidence of the client's injuries, including bruising, scars, and bleeding on the face. The SIR and staff testimonies shared that staff had an appropriate response in stopping the fight and calling the ambulance to provide the client with medical attention. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION 3RD AVE HOMEFACILITY NUMBER: VISIT DATE: 03/05/2026


summary: Facility Evaluation

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


summary: Facility Evaluation

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


summary: Facility Evaluation

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


summary: Facility Evaluation

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


summary: Facility Evaluation

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

met_with: Garrin Davis-Operations Manager


facility_name: MINDFUL GROWTH FOUNDATION WILTON HOME

summary: Facility Evaluation

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

met_with: Jenero Jefferson, Administrator


summary: Facility Evaluation

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

met_with: Garrin Davis, Operations Manager


facility_name: MINDFUL GROWTH FOUNDATION #1

raw_content:
Investigation Findings:
13Staff returned confiscated marijuana to minor. Staff is harassing youth. Staff perform unreasonable searches of minors' belongings. On February 2, 2022 at 1:33pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Mindful Growth Foundation #1 and spoke with Sherlyn Johnson, Administrator. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation, a total of three (3) clients and five (5) staff were interviewed. Confidential interviews and documentary evidence provided in Special Incident Report #787099 did not substantiate the allegation that staff returned confiscated marijuana to minor. Documentary evidence also reveal client's knowledge and agreement of the house rules as it relates to the policy on marijuana possession and their use on the physical premises of the facility. Confidential interviews conducted did not reveal staff perform unreasonable searches of minors' belongings. Confidential interviews conducted did not reveal staff is harassing youth. LPA obtained signed copies by three (3) clients of the house rules, Code of Ethics, and admissions agreement for the clients in care. LPA also obtained copies of the Special Incident Reports regarding the allegation staff returned confiscated marijuana to minor. Based on the interviews conducted, 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. No deficiencies were observed or cited at the time of this investigation. Exit interview was conducted, and a copy of this report will be emailed to the Administrator. 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 3

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

met_with: Sherlyn Johnson


raw_content:
Narrative:
Based on the interviews conducted, 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. Exit interview was conducted, and a copy of this report will be emailed to the Administrator.

Investigation Findings:
13On March 16, 2022 at 1:00pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Mindful Growth Foundation #1 and spoke with Sherlyn Johnson, Administrator. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation, a total of four (4) clients, three (3) staff and two (2) witnesses were interviewed. Confidential interviews and documentary evidence provided did not substantiate the allegation of a wrongful eviction. Documentary evidence shows that there were several options provided for placement and housing. Confidential interviews and documentary evidence provided does not substantiate the allegations that minors are being spoken to inappropriately while in care and minor was handled in a rough manner. LPA obtained copies of Special Incident Reports (SIR) #786524 and #796631, staff certification of Crisis Training in De-Escalation for three (3) staff, and Placement Preservation meeting notes. Continued on LIC 9099_C 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 CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION #1FACILITY NUMBER: VISIT DATE: 03/16/2022

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

met_with: Sherlyn Johnson-Administrator


raw_content:
Narrative:
Although, Client #5 revealed in a confidential interview that Staff #4 spoke inappropriately to Client #5 and handled Client #5 in a rough manner, other confidential interviews and documentary evidence did not substantiate the allegations that minors are being spoken to inappropriately while in care and minor was handled in a rough manner. LPA obtained copies of Special Incident Reports (SIR) #792472, #786524, and #796631, staff certification of Crisis Training in De-Escalation for three (3) staff, and Placement Preservation meeting notes. Based on the interviews conducted, 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. Exit interview was conducted, and a copy of this report will be emailed to the Administrator.

Investigation Findings:
13This an amended report from the original date of 3/16/2022. On March 16, 2022 at 1:00pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Mindful Growth Foundation #1 and spoke with Sherlyn Johnson, Administrator. The purpose of this visit was to deliver the findings for the above complaint allegations. During the investigation, a total of five (5) clients, four (4) staff and three (3) witnesses were interviewed. Confidential interviews and documentary evidence provided did not substantiate the allegation of a wrongful eviction. Documentary evidence shows that there were several options provided for placement and housing. Documentary evidence also revealed Client #1 was given a 14-Day notice informing them of their placement termination. Continued on LIC 9099-C 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 CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: MINDFUL GROWTH FOUNDATION #1FACILITY NUMBER: VISIT DATE: 07/13/2022

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


summary: Facility Evaluation

raw_content:
Narrative:
Fannie Linnear - Facility Manager On December 10, 2021 at 12:49pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Mindful Growth Foundation #1 for the purpose of conducting a case management for an incident that occurred on December 6, 2021. LPA discussed Special Incident Report (SIR) #787530 with the Facility Manager which was reported involving a client calling the paramedics for themselves due to the effects of client possibly smoking marijuana or taking mushrooms. LPA interviewed Facility Manager and conducted other confidential interviews on this date regarding the incident. LPA requested the shift notes for the date the incident occurred. Facility manager stated they would have the shift notes emailed to LPA. Based on information gathered there was insufficient information to support the above allegation at this time. Additional interviews will be conducted at a later date. Exit interview was conducted and a copy of the report was emailed for a signature.

met_with: Fannie Linnear - Facility Manager