summary: Facility Evaluation

raw_content:
Narrative:
On June 14, 2024, at 12: PM Licensing Program Analyst (LPA) Rosslyn Gray made an unannounced to DANGERFIELD HOME #1 for the purpose to conduct the Case Management - Annual Continuation. LPA conducted a Health and safety risk assessment upon arriving at the facility. LPA met with the Program Administrator inquired about the current census, requested the Register of Clients in placement and requested to interview all available clients. Client Interviews: LPA interviewed two (2) of the six (6) clients. S1 stated one (1) client is on a unauthorized absence, two (2) clients were unavailable due to being offsite on community pass and one (1) client refused to be interviewed. LPA took the initiative to encourage client to interview. Client was adamant in his decision not to be interviewed.. There were no deficiencies cited at this time. PER California Code Regulations, TITLE 22, DIVISION 6, CHAPTERS 9.5, there were no deficiencies observed or cited at the time of the visit. LPA concluded the Case Management - Annual Continuation. An exit interview was conducted, and a copy of this report was left at the facility with the Administrator/Chinyere Ukattah


state: CA

facility_name: DANGERFIELD HOME #1

summary: Facility Evaluation

raw_content:
Narrative:
On 10/22/2025 at 10: AM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced visit to DANGERFIELD FIELD HOME #1 for the purpose of conducting a Case Management -Incident Inspection. LPA met with the S1 to discuss the details of the I-track Special Incident Report reported to Department on 10/10/2025 " "Assaultive Behavior/ Inappropriate Sexual Behavior ". During the investigation LPA obtained a copy of the LIC 500, Client Roster. LPA reviewed the initial -track Special Incident Reports to be meet reporting requirements that included cross reporting to the IR to the authorized representative. LPA requested to interview facility staff, clients and witnesses. LPA obtained the current IR as evidence of clients involved in the incident to be on AWOL status; documents obtained from the Law Enforcement -Los Angeles Police Department (LAPD) officer: and any additional information and documents in reference to the incident. Based on the interviews conducted, information gathered, and documentation received. There was insufficient information to support that the above allegation occurred. This Case Management -Incident needs further investigation. There were no deficiencies cited at this time. An exit interview was conducted on 10/22/2025 and a copy of this report will be provided via email to the Facility Administrator Paris Ukattah

report_type: Facility Evaluation

visit_type: Case Management

met_with: Facility Administrator Paris Ukattah


summary: Facility Evaluation

raw_content:
Narrative:
On 01/30/2026 at 10:00AM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced visit to DANGERFIELD FIELD HOME #1 for the purpose of conclude the Case Management -Incident Inspection. LPA discuss the details of the incident report, LPA reviewed all evidence reported to Department on 10/10/2025 "Assaultive Behavior/ Inappropriate Sexual Behavior ". LPA obtained a current copy of the LIC 500, Client Roster. During the investigation LPA reviewed-ITrack Special Incident Reports, of the clients involved in the incident obtained a search warrant from the Sheriff's Department, Overnight room check and residential daily logs, staff and clients were interviewed, an internal investigation was conducted, the authorized representative was notified. C1 received consultation from the facility Administrative Team and DCFS. S1 provided evidence that the alleged perpetrator was cited to appear in court the Los Angeles County District Attorney office determined that no charges will be filed, the alleged rape victim reportedly refused to talk to the police. Neither C C2 were discharged and are currently in placement. Based on the interviews conducted, information gathered, and documentation received there was no evidence to determine that staff did not provided proper supervision. There were no deficiencies cited at this time. An exit interview was conducted on 01/30/2026 and a copy of this report will be provided via email to the Facility Administrator Paris Ukattah


summary: Facility Evaluation

raw_content:
Narrative:
On 01/30/2026 at 10:00AM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced visit to DANGERFIELD FIELD HOME #1 for the purpose of conducting a Case Management -Incident Inspection. LPA met with the S LPA obtained a copy of the LIC 500, Client Roster and discussed the details of the I-track Special Incident Report, reported to Department on 12/12/2025 "Incident Type: Substance Abuse and Verbal Aggression, based on the information reported the Incident Type was "Contraband and Weapons ". During the investigation LPA reviewed the initial SIR that indicated in the body of the report "Law enforcement did not need to be contacted". LPA interviewed facility staff, obtained documented evidence, and reviewed the addendum as evidence that staff contacted Law Enforcement transported the confiscated contraband and magazine clip to the Southwest Division -Los Angeles Police Department (LAPD). The incident was cross reported to the authorized representative. An internal investigation was conducted,C1 was interviewed, several Child & Family Team (CFT) were conducted. C1 was placed on a Safety Plan and a 14-day notice was submitted due to ongoing safety concerns. Based on the interviews conducted, information gathered, and documentation received. There were no deficiencies cited at this time. An exit interview was conducted on 01/30/2026 and a copy of this report will be provided via email to the Facility Administrator Paris Ukattah


facility_name: DANGERFIELD HOME #2

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Investigation Findings:
13On 08/13/2021 at 12: PM, Licensing Program Analyst (LPA) Charmetha White made an unannounced visit to Dangerfield Home #3, located at W. 42nd Street Los Angeles, Ca. 90062, for the purpose of concluding an investigation and to deliver findings on the above allegation. LPA spoke with the Administrator, Earlene Johnson and discussed the findings. During the course of this investigation, LPA interviewed pertinent parties and reviewed records. Interviews and records did not produce corroborating evidence to support the allegation. Staff denied the allegation) and stated they did step in to prevent the client from harming herself and said they also contacted Law Enforcement's SMART team to assist them with the situation. Client #1 admitted to cutting herself with a razor and said the staff tried to take the razor from her once they saw it. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview completed and a copy of this report was left with or emailed to Administrator, Earlene Johnson. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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

report_type: Complaint Investigation

met_with: Administrator - Earlene Johnson

complaint_status: unsubstantiated


raw_content:
Investigation Findings:
13On October 15, 2021 at 1: PM, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of delivering findings on the above allegation. LPA met with Facility Administrator, Earlene Johnson and discussed the findings. During the course of this investigation, LPA interviewed pertinent parties, reviewed records and Special Incident Reports. Interviews and records did not produce corroborating evidence to support the allegations. Staff denied the allegation and stated any time a client attempts to AWOL, staff follow AWOL procedures. Staff stated prior to Client #1's AWOL, Staff attempted to verbally redirect and discourage Client, once Client AWOLED Staff contacted Law Enforcement, and Client #1's placement agency to notify them of the AWOL. Additionally, LPA was informed Client #1's bed was closed effective 06/29/2021. LPA was unable to obtain a statement from Client #1 as client was AWOL. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview completed and a copy of this report was left with Facility Administrator, Earlene Johnson. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

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

met_with: Facility Administrator - Earlene Johnson


raw_content:
Narrative:
LPA determined that the allegation of Neglect/Lack of Supervision is Unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left at the Facility Administrator.

Investigation Findings:
13On October 21, 2022 at 2: PM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to DANGERFIELD HOME #2 to conclude the investigation on the above allegation. LPA met with the Facility Administrator to conclude the investigation and to deliver the findings. During the investigation LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. The Licensee denied the allegation. Based on confidential interviews and review of documentary evidence. there is no evidence or witnesses to support that the facility Lack of supervision to prevent minors from AWOLing. Documented evidence and confidential interviews were congruent that the staff provided proper supervision and crisis intervention in effort to prevent the children from going AWOL. Due to lack of evidence obtained during the investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DANGERFIELD HOME #2FACILITY NUMBER: VISIT DATE: 10/21/2022

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

met_with: Facility


raw_content:
Narrative:
Confidential interviews were congruent that the staff provided proper supervision and crisis communication to redirect, distract and intervene in on conversations that may escalate to a physical altercation. There is no evidence of medical records to confirm that the youth in care required special dietary needs. Confidential interviews were congruent that the youth in care are provided with three (3) meals a day including snack and options to obtain alternative food items to the weekly menu. LPA's observation and confidential interviews confirmed that the youth in care are offered individual foot lockers with a combination lock to safeguard their personal belongings and that the facility provides personalized hair products on a monthly bases and hygiene products on a weekly basis. Due to lack of evidence obtained during the investigation, LPA determined that the allegations are Unsubstantiated. 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 left with the Facility Administrator

Investigation Findings:
13On June 8,2023, at 3: PM (LPA),Licensing Program Analyst Rosslyn Gray made an unannounced visit to conclude the investigation and to delivery the findings on the above allegations. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine Neglect/Lack of Supervision,and Personal Rights occurred. There is no evidence or witnesses to determine that the staff did not proved a safe and healthful environment for youth in care. Records confirm that the staff were in ratio to monitor the youth, implemented the facilities Emergency Intervention plan, and a Safety Plan was put in place immediately to secure a safe environment for the youth in care. LPA reviewed Special Incident Reports (SIR), written in a timely manner, specific to each individualized situation and was cross reported to the authorized representatives regarding, threats, peer to peer assaultive behavior that involved law enforcement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DANGERFIELD HOME #2FACILITY NUMBER: VISIT DATE: 06/08/2023

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

met_with: Facility Administrator


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Facility cited for violation of Interim Licensing Standards, Article Continuing Requirements 87072 (c)(16) - Personal Rights. S2 did not allow C1 to have access to their personal belongings and handled and spoke to C1 in an inappropriate manner. A copy of this report and the Appeal Rights was provided to the Licensee. An exit interview was conducted, and a copy of this report was left with the Facility Administrator Earlene Johnson.

Investigation Findings:
13On November 1, 2024, at 10: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the complaint investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available parties and reviewed documentary evidence and video footage. Statements and review of documentary evidence and video footage were consistent that Staff 2 (S2) handled and spoke inappropriately to Child 1 (C1). In video footage, Staff 2 (S2) is observed handling Child 1 (C1) in a rough manner and confiscating C1 laptop/chrome book. Review of documentary evidence indicated that S2 resigned and provided a letter admitting to the allegations. S2 has been disassociated from all Dangerfield locations. Facility cited for violation of Interim Licensing Standards, Article Continuing Requirements 87072 (c)(16) - Personal Rights. S2 did not allow C1 to have access to their personal belongings and handled and spoke to C1 in an inappropriate manner. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DANGERFIELD HOME #2FACILITY NUMBER: VISIT DATE: 11/01/2024

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

met_with: Earlene Johnson Facility Administrator

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On 10/19/2021 9:30AM Licensing Program Analyst (LPA) Rosslyn Gray and LPA Bernice Karnsrithong made an unannounced to DANGERFIELD HOME #2 for the purpose to conduct the Annual/Required licensing Inspection. Temperature and health checks are conducted at the entrance in the sign-in area. LPA met with the Program Administrator, who granted access into the home, and who provided a tour of the entire physical plant inside and out. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2024. The Mental Health Approval is affected March 25, 2021 and expires March 24, 2022. There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. STRTP Overview: This is a two (2) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, a living room, dining room, kitchen, Den, Therapy Room, a Backyard, and a Detached Garage that identified as the staff office. There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed that the bars on the downstairs all windows and non on the upstairs windows were in good condition. LPAs observed a locked basement that stores the hot water heater. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by brick wall and side gated observed to be good condition. There is a sliding iron gate entry for the facility vehicle. There are two table with four (4) chairs. The laundry room is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according the load of the laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. Page 1 of Living Room: There is adequate furniture which appears to be in good condition. There is a television and fireplace that is non-operable. There is a ceiling fan. Dining Area: One table with six chairs. There is a book shelf that contains books and games for children to use. Common Areas: located on the 1st floor. There is adequate furniture two (2) sofas, television. Staff office: Is in the same area common area. It is equipped office furniture (i.e desk, computers, printers. Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a microwave, refrigerator/freezer and a toaster oven. LPA's observed adequate perishable/nonperishable food supplies. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. 2nd Floor: There is an Emergency exit door located at end of the hallway with an alarm that alerts the staff when a clients goes AWOL. Bedroom # 1: Occupied by two (2) clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bedroom # 2: Currently occupied by one (1) clients, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. Bedroom # 3: Currently occupied by two (2) clients. The bedroom has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. Bathrooms: There are two (2) bathrooms. Bathroom #1 is the common bathroom for the clients. It is a full-sized bathroom with a toilet, sink, and tub/showers. Bathroom #2 is located adjacent to the laundry room, this a half bath equipped with toilet and a sink; observed to be clean and operating properly. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Page 2 of During the facility was inspected, the following was observed: The home is clean, safe, sanitary, and in good repair. Carbon monoxide and smoke detectors are working properly. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA observed a First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. All posting requirements were met. Children will be accorded personal rights. The facility current License, Mental Health Certification; Ombudsperson Grievances and Personal Rights; are posted on the wall. Children are not restricted to make phones calls based on the court and or authorized representative. The lounge is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. LPA observed the child's Needs and Services plans kept in clients personal file; (filed in an individual binder). Children are accompanied to outside extracurricular activities and social events (concerts, NBA, NFL, NHL game, movie theater, bowling, hiking, swimming etc.) Alternate activities have been implemented. Clients are also accompanied parks and recreational facilities and amusement parks. Staff Records Review: LPA reviewed five (5) staff records stored in individual personnel file/binders provided by S1. LPA ensured to thoroughly review the records of the primary active staff (i.e Program Administrator, the Facility Therapist, Facility Manager; and two (2) Direct Care Staff. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the five (5) clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. QA Administrator provided evidence of staff training transcripts stored RELIAS Training Program Hours of training for various topics including Trauma Informed and CSEC training. Clients Records Review: LPA reviewed five (5) clients records which meet qualification. Staff Interviews: LPA conducted a confidential interview with three (5) on duty staff. Client Interviews: LPA conducted confidential interviews with three (3) of the five (5) clients according to the census willing to be interviewed. There were no deficiencies cited at this time. LPA's concluded the Annual/Required Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Facility Manager on 10/19/ Page 3 of 3

visit_type: Annual

met_with: Program Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 03/02/2023 at 9:30AM Licensing Program Analyst (LPA's) Rosslyn Gray made an unannounced to DANGERFIELD FIELD HOME #2 to conduct a Case Management-Incident. LPA met with the S1 to discuss the details of the Emergency Response Referral reported on 02/22/2022, "Possible Commercially Sexually Exploited Child". LPA asked S1 was there an iTrack Special Incident Report (SIR) submitted in reference to the referral. S1 recalled the incident and confirmed that when C1 went AWOL the facility staff identified as the Reporting Party called the Child Protected Hotline (CPH) to report Runaway Behavior. S1 also confirmed that an Special Incident Report (SIR) was written an submitted in timely manner and crossed reported to all authorized representatives. LPA gathered all requested documents and asked was the C1 present to be interviewed that is indicated Emergency Referral. S1 stated that the C1 was present to be interviewed. There were no deficiencies cited at this time. LPA concluded the Case Management-Incident and a copy of this report was left at the facility with the Facility Administrator on 03/02/2033.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/12/2023 9:00AM On October 12, 2023 9:00AM, Licensing Program Analyst LPA's Rosslyn Gray and Deborah Lee made an unannounced to DANGERFIELD HOME 2 for the purpose to conduct a Case Management-Annual Continuation Inspection. Prior to entering the facility LPA conducted a Heath and Safety Risk assessment. LPA met with the Program Administrator, who granted access into the home, and provided a brief tour of the physical plant. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. There is a Naloxone Waiver on File. The census on this day is four (4).The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2024. The facility current License, Mental Health Certification dated November 25, 2022, and expires November 24, 2023. There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. During the facility was inspected, the following was observed: This is a two (2) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, a living room, dining room, kitchen, Den, Therapy Room, a Backyard, and a detached unit in the back of the facility identified as the staff office. There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed that the bars on the downstairs all windows and non on the upstairs windows were in good condition. LPAs observed a locked basement that stores the hot water heater. LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by an iron gate and brick wall in the back of the facility observed to be good condition. There is a sliding iron gate entry for the facility vehicle. LIC Page 1 of Living Room: There is a sofa, two (2) lounge chairs and a table with two (2) chairs which appears to be in good condition. There is a television and fireplace that is non-operable. There is a ceiling fan and four (4) windows and bars. Dining Area: There are three (3) windows with bars blinds and curtains. There is a table with six (6) chairs, and a medium all purpose table with two (2) chairs. There is a book shelf that contains books and games. There is a medicine cabinet and a file cabinet. All posting and the suggestions box is located in the dining area. The Common Area: located on the 1st floor. There is adequate furniture, two (2) sofas, a desk, computer, printer, television and a window with bars, covered with curtains. Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a microwave, refrigerator/freezer and a toaster oven. LPA's observed adequate perishable/nonperishable food supplies. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There are also two (2) windows with bars covered with curtains. The laundry room is equipped with a washer and dryer unit located on the service porch near the back door that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according the load of the laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. 2nd Floor: There is an Emergency exit door located at end of the hallway with an alarm that alerts the staff when a clients goes on Unauthorized Absence. There is Therapy office, linen closet, a supply closet that contains extra cleaning supplies, hygiene products, extra clothing, and a small pantry with ample non perishable food and individual snack containers. Bedrooms: Each bedroom is equipped with two (2) twin sized beds, a comfortable mattress, clean linen, blankets and pillows. There is have adequate drawers and closet space, adequate lighting, and the windows and blinds observed to be in good condition. LIC Page 2 of Bedroom #1: Currently occupied by one (1) client. Bedroom #2: Currently occupied by two (2) clients. Bedroom #3: Currently occupied by one (1) client. Bathrooms: There are two (2) bathrooms. Bathroom #1 is locate on the 2nd floor. It is full sized bathroom equipped with a with a toilet, sink, a tub and shower. Bathroom #2 is located adjacent to the laundry room, this a half bath equipped with toilet and a sink; observed to be clean and operating properly. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. STRTP Overview: The facility was observed to be clean, safe, sanitary, and in good repair. Carbon monoxide and smoke detectors are working properly. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA's observed a First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. All posting requirements were met. Children will be accorded personal rights. The facility current License, Mental Health Certification; Ombudsperson Grievances and Personal Rights; are posted on the wall in the kitchen and upstairs. Clients are not restricted to make phones calls based on the court and or authorized representative. The lounge is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. LPA observed the child's Needs and Services plans kept in clients personal file; (filed in an individual binders). Children are accompanied to outside extracurricular activities and social events (concerts, professional athletic events, movie theater, bowling, hiking, swimming, etc.) Alternate activities have been implemented. Clients are also accompanied parks and recreational facilities and amusement parks. LIC Page 3 of LPA ensured to thoroughly review active staff (i.e Program Administrator, the Facility Therapist, Facility Manager; and two (2) Direct Care Staff. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the four 4 clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. LPA observed staff training certificates and RELIAS training for various topics including Trauma Informed and CSEC training. Staff Records Review: LPA reviewed three (3) staff records stored in individual personnel file/binders. Clients Records Review: LPA reviewed four (4) clients records which met qualification. Staff Interviews: LPA conducted a confidential interview with three (3) on duty staff. Client Interviews: LPA conducted confidential interviews with two (2) of the four (4) clients according to the census, available and willing to be interviewed. There were no deficiencies cited at this time. LPA's concluded the Annual/Required Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Facility Manager on 10/12/ LIC Page 4 of 4

met_with: ADMINISTRATOR


summary: Facility Evaluation

raw_content:
Narrative:
On 10/10/2025 10:15AM Licensing Program Analyst LPA's Rosslyn Gray made an unannounced to DANGERFIELD HOME 2 for the purpose to conduct a Annual/Random Inspection. Prior to entering the facility LPA conducted a Heath and Safety Risk assessment. LPA met with the Program Administrator, who granted access into the home, and provided a brief tour of the physical plant. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. There is a Naloxone Waiver on File. The census on this day is three (3). The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2027. The facility current License, Mental Health Certification dated November 25, 2022, and expires November 24, There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. During the facility was inspected, the following was observed:=]=This is a two (2) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, a living room, dining room, kitchen, Den, Therapy Room, a Backyard, and a detached unit in the back of the facility identified as the staff office. There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed that the bars on the downstairs all windows and non on the upstairs windows were in good condition. LPAs observed a locked basement that stores the hot water heater. LIC Page 1 of LPA observed a staff displayed the utility shut-off valves. The facility is surrounded by an iron gate and brick wall in the back of the facility observed to be good condition. There is a sliding iron gate entry for the facility vehicle. Living Room: There is a sofa, two (2) lounge chairs and a table with two (2) chairs which appears to be in good condition. There is a television and fireplace that is non-operable. There is a ceiling fan and four (4) windows and bars. Dining Area: There are three (3) windows with bars blinds and curtains. There is a table with six (6) chairs, and a medium all purpose table with two (2) chairs. There is a book shelf that contains books and games. There is a medicine cabinet and a file cabinet. All posting and the suggestions/Grievance box is located in the dining area. The Common Area: located on the 1st floor. There is adequate furniture, two (2) sofas, a desk, computer, printer, television and a window with bars, covered with curtains. Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a microwave, refrigerator/freezer and a toaster oven. LPA's observed adequate perishable/nonperishable food supplies. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There are also two (2) windows with bars covered with curtains. The laundry room is equipped with a washer and dryer unit located on the service porch near the back door that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according the load of the laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. 2nd Floor: There is an Emergency exit door located at end of the hallway with an alarm that alerts the staff when a clients goes on Unauthorized Absence. There is Therapy office, linen closet, a supply closet that contains extra cleaning supplies, hygiene products, extra clothing, and a small pantry with ample non perishable food and individual snack containers. LIC Page 2 of Bedrooms: Each bedroom is equipped with two (2) twin sized beds, a comfortable mattress, clean linen, blankets and pillows. There is have adequate drawers and closet space, adequate lighting, and the windows and blinds observed to be in good condition. Bedroom #1: currently occupied by two (2) clients Bedroom #2: Equipped to for two (2) clients, currently occupied by one (1) client. Bedroom #3: Equipped to for two (2) clients, currently unoccupied Bathrooms: There are two (2) bathrooms. Bathroom #1 is locate on the 2nd floor. It is a full sized bathroom equipped with a with a toilet, sink, a tub and shower. Bathroom #2 is located adjacent to the laundry room, this a half bath equipped with toilet and a sink; observed to be clean and operating properly. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. STRTP Overview: The facility was observed to be clean, safe, sanitary, and in good repair. Carbon monoxide and smoke detectors are working properly. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA-Gray observed a First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. All posting requirements were met. Clients will be accorded personal rights. The facility current License, Mental Health Certification; Ombudsperson Grievances and Personal Rights; are posted on the wall in the kitchen and upstairs. Clients are not restricted to make phones calls based on the court and or authorized representative. The lounge is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. LPA observed the Client's Needs and Services plans kept in clients personal file; (filed in an individual binders). Children are accompanied to outside extracurricular activities and social events (concerts, professional athletic events, movie theater, bowling, hiking, swimming, etc.) Alternate activities have been implemented. Clients are also accompanied parks and recreational facilities and amusement parks. LIC Page 3 of LPA ensured to thoroughly review active staff (i.e Program Administrator, the Facility Therapist, Facility Manager; and two (2) Direct Care Staff. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present the to meet the needs of six (6) clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. LPA observed staff training certificates and RELIAS training for various topics including Trauma Informed and CSEC training. Staff Records Review: LPA reviewed three (3) staff records stored in individual personnel file/binders. Clients Records Review: LPA reviewed four (3) clients records which met qualification. Staff Interviews: LPA conducted a confidential interview with two(2) on duty staff. Client Interviews: Clients refused to be interviewed. There were no deficiencies cited at this time. LPA's concluded the Annual/Required Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Facility Administrator Earlene Johnson LIC Page 4 of 4

met_with: Facility Administrator Earlene Johnson


raw_content:
Narrative:
Confidential interviews were congruent that the staff provided proper supervision, implemented Positive Discipline "Hands off Policy" for customary and routine interactions and conflicts. Staff conducted random room checks every 15 minutes; interventions were implemented to prevent verbal and physical altercations, interrupt, redirect conversation the trigger conflict, negatives, and create a peaceful resolution. A Safe Behavior Contract was implemented for both clients including Child Family Team (CFT); Contract/Client Agreement was implemented, and iTrack Special Incident report were written. Due to lack of evidence obtained during the investigation. LPA Gray determined that the allegation of lack of supervision is Unsubstantiated at this time meaning, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided to Lakesha Huntsman, Direct Care Staff and the Administrator.

Investigation Findings:
13On 02/13/2026 at 11: AM Licensing Program Analyst (LPA) Andrew Upshaw made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Upshaw conducted a health and safety risk assessment. LPA Upshaw met with, Lakesha Huntsman, Direct Care Staff. During the investigation, LPA Rosslyn 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 Staff did not intervene in a timely manner when minors were engaged in an altercation; Minor was bullied while in care or that Staff did not provide a safe environment for minors. Records confirm that the staff were in ratio to monitor the youth. -Continued on LIC9099- UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Andrew Upshaw 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: DANGERFIELD HOME #2FACILITY NUMBER: VISIT DATE: 02/13/2026

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

met_with: Lakesha Huntsman, Direct Care Staff


facility_name: DANGERFIELD HOME #3

raw_content:
Narrative:
Due to lack of evidence obtained during the investigation. LPA determined that the allegations of lack of supervision and Personal Rights are Unsubstantiated at this time meaning, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left at the Facility Manager.

Investigation Findings:
13On May 5, 2022 at 9: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to DANGERFIELD HOME #3 to conclude the investigation and met with the Facility Manager to deliver the findings. Prior to entering the facilty LPA conducted a Heath and Safety Risk assessement. During the investigation LPA-Gray interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. The reporting party remained Anonymous. The Licensee denied the allegations. In review of documented evidence and confidential interviews, there is no evidence or witnesses to determine that the staff did not provide proper supervision to prevent the youth from going AWOL. Confidential interviews were congruent that staff treats the youth with dignity and respect, the youth always had access to bathrooms, room searches were randomly conducted due to possible drugs or contraband, and there were ample hygiene products for all the youth and there was no evidence to detemine that the staff did not safeguard the confidentiality of the youths records. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DANGERFIELD HOME #3FACILITY NUMBER: VISIT DATE: 05/05/2023

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

met_with: Facility Manager


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On 08/24/2023, Licensing Program Analyst (LPA) C. White made an unannounced visit to Dangerfield Home #3 for the purpose of concluding an investigation and to deliver findings on the above allegation. LPA spoke with the Facility Manager, Dollicia Heath. During the course of this investigation, confidential interviews were conducted with pertinent parties. Interviews did not produce corroborating evidence to support the allegation. Additionally, there was no evidence or witnesses to support that staff did not prevent youths from engating in altercations. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview completed and a copy of this report was left with facility staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Facility Manager - Dollicia Heath


raw_content:
Narrative:
There is no evidence or witnesses to support that the staff did not provide supervision for the youth in care resulting in minors engaging in inappropriate interactions. Due to lack of evidence obtained during the investigation, LPA determined that the allegation is Unsubstantiated. Although the allegation 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 left with the Facility Manager Dollicia Heath

Investigation Findings:
13On January 24, 2025, at 9: AM, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation and to deliver the findings on the above allegation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray conducted confidential interviews and reviewed pertinent information in reference to the allegation. Licensee denied the allegation. Statements indicated that there were no reports of C2 entering the bathroom and taking nude photos of C1 while in care. Statements indicated that it was reported that C2 was knocking on the bathroom door asking C1 to come out. Statements indicated that after receiving notification of allegation, C1 was placed at another facility to ensure safety. Documentary evidence indicates that a Child & Family Team Meetings (CFT) and a Safety and Crisis Plan were put in place to secure a safe environment for C1. Documentary evidence indicated staff were in ratio to monitor the youth in care and room checks were conducted every 15-20 minutes. C1was not interviewed during investigation due to being on unauthorized absence. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DANGERFIELD HOME #3FACILITY NUMBER: VISIT DATE: 01/24/2025

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

met_with: Facility Manager Dollicia Heath


summary: Facility Evaluation

raw_content:
Narrative:
On May 7, 2021 at 11: AM, Licensing Program Analyst (LPA) Charmetha White made an unannounced visit to the above location for the purpose of conducting a Case Management Incident Inspection in response to a Client's Death as reported via Special Incident Report (SIR) #752961; Dated: 04/25/2021. LPA met with Administrator, Earlene Johnson. During this visit, LPA interviewed Staff #1 and Client #3 to obtained statements. LPA was informed Client #1's death occurred on 04/25/2021 and as a result Client #1 bed was closed on 05/05/2021. The following information was requested: Current Personnel Schedule (LIC 500), Client Intake/Assessment report, Behavioral Log Notes regarding Client #1, Child and Family Team (CFT) notes, and facility AWOL procedures. Additionally, LPA instructed Administrator to provide the department with a copy of Client #1's death certificate once the document is made available. This incident requires further investigation. A copy of this report was left with the Administrator. PER California Code of Regulations, TITLE 22, DIVISION 6, CHAPTERS 1 & 5, there were no deficiencies observed or cited at this site visit.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/26/2021 9:30AM Licensing Program Analyst (LPA) Rosslyn Gray and LPA Bernice Karnsrithong made an unannounced visit to DANGERFIELD HOME #3 for the purpose to conduct the Annual/Required licensing Inspection. Temperature and health checks are conducted at the entrance in the sign-in area. LPA met with the Program Administrator, who granted access into the home, and who provided a tour of the entire physical plant inside and out. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2024. The Mental Health Approval is affected March 25, 2021 and expires March 24, 2022. There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. STRTP Overview: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, a living room, dining room, kitchen, staff office and a two (2) car garage (utilized for storage). There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed that the bars on the exterior windows are in good condition. LPAs observed a locked attic that is organized and used for storing holiday materials and art supplies, etc. LPAs observed a staff displayed the utility shut-off valves for gas and water. The facility is surrounded by a black iron spiked gate which is 4-feet in height and observed to be good condition. There is a sliding iron gate entry for the facility vehicle. (page 1 of 4) Living Room: There is adequate furniture which appears to be in good condition. There are two (2) sofas, a 50-inch television and fireplace that is non-operable. There are windows with curtains. There is a large locked linen closet. There is an area being utilized for COVID- Health Safety Checks. Dining Area: One large table with six chairs. There is a book shelf that contains books and games for children to use. There is also a locked cabinet located at the dining room area used to store chemicals and cleaning supplies. There is a ceiling fan. There is locked cabinet being used to store the client's individual snack box. Staff office: Is locked and separated from the dining and living room area. It is equipped office furniture (i.e desk, computers, printers). It also has postings on mental health, personal rights, and emergency policies. Kitchen: There is a gas stove/oven with five (5) burners, all operating. There is a microwave, refrigerator/freezer and a toaster. There is a water dispenser. There is a washer and dryer unit located in the kitchen area. The laundry detergent is made inaccessible to the children and is disputed according the load of the laundry. There is one (1) fire extinguisher and was fully charged (instructions how to use are in the emergency plan. LPA's observed adequate perishable/nonperishable food supplies. Menus for three meals a day are posted in the kitchen area. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120-degree Fahrenheit. Bedroom # 1: Occupied by two (2) minor clients, the bedroom is equipped two (2) twin sized beds, comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. The windows have retractable bars for security. There is a privacy sign on the outside windows. Bedroom # 2: Currently occupied by two (2) minor clients, has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. There is a mounted door that separates bedroom 2 and 3 that is not currently being used. The windows have retractable bars for security. There is a privacy sign on the outside windows. (page 2 of 4) Bedroom # 3: Currently occupied by two (2) non-minor dependents clients. The bedroom has two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; adequate drawer and one (1) walk in closet. The windows have retractable bars for security emergency release. There is a privacy sign on the outside windows. Bathrooms: Bedroom 1 and Bedroom 2 have a shared connecting bathroom that has a latch that is used for privacy. Bedroom 3 clients used the bathroom outside the room. Staff also uses this bathroom. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. The Facility was inspected, and the following was observed: The home is clean, safe, sanitary, and in good repair. Carbon monoxide and smoke detectors are working properly. LPA observed three (3) First Aid Kits complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. All posting requirements were met. Children will be accorded personal rights. The facility current License, Mental Health Certification; Ombudsperson Grievances and Personal Rights; are posted on the wall on the dining room and living room. Children are not restricted to make phones calls based on the court and or authorized representative. There is client telephone log being used to document phone calls for clients. The staff office is utilized for clients to make private phones calls. LPA observed the child's Needs and Services plans kept in clients personal file; (filed in an individual binder). Children are accompanied to outside extracurricular activities and social events (concerts, NBA, NFL, NHL game, movie theater, bowling, hiking, swimming etc.) Alternate activities have been implemented. Clients are also accompanied parks and recreational facilities and amusement parks. There is a binder for AWOL and Run-Away Plan. There is a two (2) car garage being utilized for storage. There is a freezer for extra food supplies, extra mattresses and suitcases that is provided to the clients when they are discharged from the program. (page 3 of 4) Staff Records Review: LPA reviewed six (6) staff records stored in individual personnel file/binders provided by S1. LPA ensured to thoroughly review the records of the primary active staff (i.e Program Administrator, the Rehab Specialist, Case Manager, Therapist, Direct Care Staff). LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for the six (6) clients in placement. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. QA Administrator provided evidence of staff training transcripts stored RELIAS Training Program Hours of training for various topics including Trauma Informed CSEC training. Clients Records Review: LPA reviewed three (3) clients records which meet qualification. It contains a Table of Contents that indicates all personal information and their authorized representative and other services provided. Staff Interviews: LPA conducted a confidential interview with three (3) on duty staff (Therapist, Direct Care Staff, Rehabilitation Specialist). Client Interviews: LPA conducted confidential interviews with two (2) of the six (6) clients according to the census willing to be interviewed. There were no deficiencies cited at this time. (page 4 of 4)


summary: Facility Evaluation

raw_content:
Narrative:
On 10/31/2023 9: AM Licensing Program Analyst (LPA) Rosslyn Gray made an unannounced visit to DANGERFIELD HOME #3 for the purpose to conduct the Annual/Required licensing Inspection. Prior to entering the facility LPA conducted a Heath and Safety Risk assessment. LPA met with the Program Administrator, who granted access into the home, and who provided a tour of the entire physical plant inside and out. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. There is a Naloxone Waiver on File. The census on this day is five (5).The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2024. The facility current License, Mental Health Certification dated November 25, 2022, and expires November 24, 2023. There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. STRTP Overview: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, a living room, dining room, kitchen, staff office and a two (2) car garage (utilized for storage). There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed that the bars on the exterior windows are in good condition. LPA observed a locked attic that is organized and used for storing holiday materials and art supplies, etc. LPA observed a staff displayed the utility shut-off valves for gas and water. The front is a facility is surrounded by a black iron spiked gate which is 4-feet in height and observed to be good condition. There is a sliding iron gate entry for the facility vehicle. LIC Page 1 of 4) Living Room: There is adequate furniture which appears to be in good condition. There are two (2) sofas, a 50-inch television and fireplace that is non-operable. There are windows with curtains. There is a large locked linen closet. Dining Area: LPA observed that the floor have been remodeled with a with a new design, modern and attractive appearance. One large table with six chairs. There is a book shelf that contains books and games for children to use. There is also a locked cabinet located at the dining room area used to store chemicals and cleaning supplies. There is a ceiling fan. There is locked cabinet being used to store the client's individual snack box. Staff office: Is locked and separated from the dining and living room area. It is equipped office furniture (i.e desk, computers, printers). It also has postings on mental health, personal rights, and emergency policies. Kitchen: LPA observed that the floor have been remodeled with a with a new design, modern and attractive appearance. There is a gas stove/oven with five (5) burners, all operating. There is a microwave, refrigerator/freezer and a toaster. There is a washer and dryer unit located in the kitchen area. The laundry detergent is made inaccessible to the children and is distributed according the load of the laundry. There is one (1) fire extinguisher and was fully charged (instructions how to use are in the emergency plan). LPA observed adequate perishable/nonperishable food supplies. Menus for three meals a day are posted in the kitchen area. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120-degree Fahrenheit. Bedrooms: Each bedroom is equipped with two (2) twin sized beds, a comfortable mattress, clean linen, blankets and pillows. There is have adequate drawers and closet space. There is adequate lighting and the windows have horizontal slide locked with curtains observed to be in good condition. The windows have retractable pull cable to release. Bedroom #1: Currently Occupied by two (2) minor clients. Bedroom #2: Currently Occupied by one (1) minor client. There is a mounted door that separates bedroom 2 and 3. Bedroom #3: Currently Occupied by two (2) minor clients, (page 2 of 4) Bathrooms: The Bedrooms #1 and Bedroom #2, LPA observed that the bathroom has been remodeled with a modern attractive appearance. Bathrooms 1 and 2 are shared connecting bathrooms that has a latch on this inside that is used for privacy. Bedroom 3 clients utilize the rear bathroom identified as bathroom #2. This bathroom is also utilized by staff. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. The Facility was inspected, and the following was observed: The home is clean, safe, sanitary, and in good repair. Carbon monoxide and smoke detectors are working properly. LPA observed three (3) First Aid Kits complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. All posting requirements were met. Children will be accorded personal rights. The facility current License, Mental Health Certification; Ombudsperson Grievances and Personal Rights; are posted on the wall on the dining room and living room. Children are not restricted to make phones calls based on the court and or authorized representative. There is client telephone log being used to document phone calls for clients. The staff office is utilized for clients to make private phones calls. LPA observed the child's Needs and Services plans and clients personal file and staff files, filed in an individual binder off site at the facilities cooperate office. Children are accompanied to outside extracurricular activities and social events (concerts, NBA, NFL, NHL game, movie theater, bowling, hiking, swimming etc.) Alternate activities have been implemented. Clients are also accompanied parks and recreational facilities and amusement parks. There is a binder for Unauthorized Absences .There is a two (2) car garage being utilized for storage. There is a freezer for extra food supplies, extra mattresses and suitcases that is provided to the clients when they are discharged from the program. LIC Page 3 of 4) Staff Records Review: LPA reviewed three (3) staff records stored in individual personnel file/binders. LPA ensured to thoroughly review the records of the primary active staff (i.e Program Administrator, the Facility Manager and the Head of Service. LPA reviewed the Personnel Report (LIC 500) and confirmed that staff to client ratio was within regulation. LPA confirmed that all staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. LPA observed provided evidence of staff's education, work experience and copies of training certificates, including stored RELIAS Training Program Hours of training for various topics including Trauma Informed CSEC training. Clients Records Review: LPA reviewed three (3) clients records which meet qualification that contain a Table of Contents that indicates all personal information and their authorized representative and other services provided. Staff Interviews: LPA conducted a confidential interview with three (3) on duty staff (Program Administrator, Facility Manager and the Head of Service). Client Interviews: LPA conducted confidential interviews with two (2) of the five (5) clients according to the census willing to be interviewed. There were no deficiencies cited at this time. LPA concluded the Annual/Random Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Facility Manager on 10/31/2023 (page 4 of 4)

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 12, 2024, at 10:15AM Rosslyn Gray, Licensing Program Analyst (LPA) arrived at the above facility for the purpose of conducting a Case Management - Incident investigation. LPA met with Paris Ukattah Facility Administrator and a health and safety assessment was conducted prior to entering facility. The department received an Special Incident Report (SIR) dated July 25, 2024. The Incident Report, disclosed that at 12:45am C1 was throwing up and appeared to be drunk. S1 asked C1 if he was ok. C1 stated his stomach was hurting. While C1 was in the bathroom, at 1:15 am, C2 resident gave S1 a bottle of D"usse Cognac VSOP with a small amount left. S1 called to the Administrator to inform her that C1 was throwing up and reported that C1 came out of the bathroom and then went into the kitchen stumbling. S1 gave C1 water and continued to monitor C1 throughout the night, and made sure that C1 was laying on his side. S1 informed S2 of the incident and S2 informed inform the Mental Health Team. During the investigation LPA interviewed S2 and the following information was requested: The current Personnel Report LIC 500, the client roster, the LIC 500 and the client roster on the day that the incident occured. LPA requested to interview S1,C1,and C2. In addition LPA requested records of C1 receiving medical attention, S1's Daily Log documents regarding C1 being monitored throughout the night, the night shift room monitor log, the Child and Family Team (CFT) notes regarding C1's history of substance abuse, records of C1 enrollment in a drug and alcohol treatment program, a copy of C1 refusing medical attention, an Addendum to the incident report regarding the outcome of C1's symptom and a Safety Plan of crisis intervention. Based on the information obtained during this visit, additional investigation is needed. There were no deficiencies cited at this time. Exit interview was conducted with Paris Ukattah Facility Administrator and a copy of this report was left at the facility.

met_with: Paris Ukattah Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2024 at 9:00AM Licensing Program Analysts (LPAs) Emelyn Sanchez P., Rosslyn Gray, Kenrick Ellis, and Connie Jones-Steward made an announced visit at Dangerfield Home #3 to conduct the Psychotropic Case Medication Inspection. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPAs Gray, Sanchez P., Ellis, and Jones-Steward met with the Facility Manager and conducted a Health and Safety risk assessment upon arriving at the facility. LPAs reviewed one (1) child file on site at the facility. No child interview was conducted on site at the facility. LPAs reviewed three (3) staff personnel files on site at the facility. LPAs interviewed three (3) staff on site at the facility. LPA's reviewed the LIC500 to confirm the shift which starts in the evening and ends early morning and reviewed the staff Criminal Records Clearances. The Facility Manager provided a physical hard copy of the psychotropic medication training topics during the inspection for LPA's to review. No deficiency were cited per Interim Licensing Standards for STRTP Version 5. An exit interview was conducted, and a copy of this report was left with the Facility Manager Dollicia Heath.

met_with: Dollicia Heath-Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 10/16/2025 10:00AM Licensing Program Analyst (LPA) Rosslyn Gray made an unannounced visit to DANGERFIELD HOME #3 for the purpose to conduct the Annual/Required licensing Inspection. Prior to entering the facility LPA conducted a Heath and Safety Risk assessment. LPA met with the Facility Administrator, who granted access into the home, and who provided a tour of the entire physical plant inside and out. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. There is a Naloxone Waiver on File. The census on this day is three (3)The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2027. The facility current License, Mental Health Certification dated November 25, 2022, and expires November 24, There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. STRTP Overview: This is a one (1) story (STRP) Short Term Residential Therapeutic Program, located in a residential neighborhood. There are three (3) bedrooms, two (2) bathrooms, a living room, dining room, kitchen, staff office and a two (2) car garage (utilized for storage). There is one (1) facility vehicle parked outside inspected to be in good operating condition. Outdoor Area: The activity space is free of hazard materials and debris. LPAs observed that the bars on the exterior windows are in good condition. LPA observed a locked attic that is organized and used for storing holiday materials and art supplies, etc. LPA observed a staff displayed the utility shut-off valves for gas and water. The front is a facility is surrounded by a black iron spiked gate which is 4-feet in height and observed to be good condition. There is a sliding iron gate entry for the facility vehicle. LIC Page 1 of 4) Living Room: There is a sofa, two (2)stand alone lounge chairs and a table with two (2) chairs which appears to be in good condition. There is a television and fireplace that is non-operable. There is a ceiling fan and four (4) windows and bars. All windows with bars and the fire extinguisher have been inspected by the fire department in operating conditions. Dining Area: There are three (3) windows with bars and curtains. There is a table with six (6) chairs, and a medium all purpose table with two (2) chairs. There is a book shelf that contains books and games. Mental Health office: There is a medicine cabinet and a file cabinet. All posting and the suggestions box is located in this office. The Common Area: There is adequate furniture, two (2) sofas, a desk, computer, printer, television and a window with bars, covered with curtains. . The common area dining room area is utilized for clients to make phones calls and the Phone Call Log is kept near the facility phone. Clients are not restricted to make phones calls based on the court and or authorized representative Kitchen: There is a gas stove/oven with four (4) burners, all operating. There is a microwave, refrigerator/freezer, a toaster oven and a air fryer. LPA's observed adequate perishable/nonperishable food supplies. Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There are also two (2) windows with bars covered with curtains. The laundry are s equipped with a washer and dryer unit located on the service porch near the back door that was observed to be in good condition. The laundry detergent is made inaccessible to the children and is disputed according the load of the laundry. There is an Emergency exit door located at end of the hallway with an alarm that alerts the staff. There is linen closet, a supply closet that contains extra cleaning supplies, hygiene products, extra clothing, and a small pantry with ample non perishable food and individual snack containers. Bedrooms: Each bedroom is equipped with two (2) twin sized beds, a comfortable mattress, clean linen, blankets and pillows. There is have adequate drawers and closet space, adequate lighting, and the windows and shades observed to be in good condition. LIC Page 2 of Bedroom #1: Currently occupied by two (2) clients. Bedroom #2: Currently occupied by one (1) client. Bedroom #3: Currently occupied by one (1) client. Bathrooms: There are two (2) bathrooms. Bathroom #1 is a full sized bathroom equipped with a with a toilet, sink, and a shower. Bathroom #2 is located adjacent to the laundry room, full sized bathroom equipped equipped with shower, sink and toilet; observed to be clean and operating properly. Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. STRTP Overview: The facility was observed to be clean, safe, sanitary, and in good repair. Carbon monoxide and smoke detectors are working properly. There are two (2) fire extinguishers and was fully charged and carbon monoxide detectors were working properly in the facility. LPA's observed a First Aid Kit complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. All posting requirements were met. Children will be accorded personal rights. The facility current License, Mental Health Certification; Ombudsperson Grievances and Personal Rights; are posted on the wall in the kitchen and upstairs. LPA observed the child's Needs and Services plans kept in clients personal file; (filed in an individual binders). Children are accompanied to outside extracurricular activities and social events (concerts, professional athletic events, movie theater, bowling, hiking, swimming, etc.) Alternate activities have been implemented. Clients are also accompanied parks and recreational facilities and amusement parks. LIC Page 3 of LPA ensured to thoroughly review active staff (i.e Facility Administrator, the Facility Manager; Direct Care Staff and Mental Rehab Special. LPA reviewed the Personnel Report (LIC 500) and confirmed that staff are present in ratio for clients in placement. LPA confirmed that all staff have required criminal record clearances. DOJ, FBI and Child Abuse Response; which meet qualification. LPA observed staff training certificates and RELIAS training for various topics; ( i,e Trauma Informed, CSEC training, Crisis interventions, and LGBTQ) Staff Records Review: LPA reviewed three (3) staff records stored in individual personnel file/binders. Clients Records Review: LPA reviewed client three (3) clients records which met qualification. Staff Interviews: LPA conducted a confidential interview with three (3) on duty staff. Client Interviews: LPA conducted confidential interviews with one (1) of the three (3)clients according to the census, available and willing to be interviewed. There were no deficiencies cited at this time. LPA's concluded the Annual/Required Inspection. An exit interview was conducted, and a copy of this report was left at the facility with the Facility Administrator Paris Ukattah on 10/16/ LIC Page 4 of 4


facility_name: DANGERFIELD HOME #4

raw_content:
Narrative:
Confidential interviews were congruent that staff make effort to establish a rapport with youth, treats them with dignity and respect, provides transportation to and from school, extra curriculum activities and after school programs to assist resident with educational needs. LPA reviewed Special Incident Reports (SIR), written in a timely manner and cross reported to the authorized representatives regarding, assaultive behavior to peer, unauthorized absences that involved law enforcement and urgent care/medical visits. Evidence indicates that the staff implemented the facilities emergency intervention plan as evidence by utilizing crisis communication in effort to separate and escort youth to a safe place within the facility and or make adjustment to the room assignments. The alleged victim denied medical attention and there are no medical records of any injuries sustained during the reported physical altercation. Documented evidence confirmed that the facility provides mental health related services and other age-appropriate activities to meet the youth's needs on a weekly basis. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are Unsubstantiated. 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 left with the Facility Manager.

Investigation Findings:
13On June 2,2023, at 10:00AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available relevant parties and gathered pertinent information in reference to the allegations. The Licensee denied the allegations. Based on confidential interviews and review of documentary evidence, there is no evidence or witnesses to support, or to determine Neglect/Lack of Supervision,and Personal Rights occurred. There is no evidence or witnesses to determine that the staff did not ensure a safe and healthful environment for youth in care. Records confirm that the staff were in ratio to monitor the youth. Confidential interviews were congruent that the staff provided proper supervision and crisis communication to redirect and intervene in negative conversations that may escalate to physical altercations. There is no evidence or witnesses to determine that the staff speak to youth or their parents in an inappropriate manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DANGERFIELD HOME #4FACILITY NUMBER: VISIT DATE: 06/02/2023

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


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2021 at 11: AM, Licensing Program Analyst (LPA) Charmetha White arrived at the above facility for the purpose of conducting a STRTP Annual Required Inspection. LPA met with Administrator, Lorrie Irving, Administrator, Chinyere Paris Ukattah and Facility Manager, Ayasha Johnson who granted access to location and a tour the facility both inside and out. This facility provides services to 6 children ages 13-17 years old, ambulatory only and non-minor dependents. The facility is set up as follows: This is a single story home located in a residential neighborhood. There are 3 bedrooms, 3 bathrooms, living room, dining room, kitchen, Den/TV room, and Therapy Room. Bedrooms #1: is occupied by Client #1 and Client # Bedroom #2: is occupied by Client #3 and Client # Bedroom #3: is occupied by NMD Client # All rooms are furnished with two twin beds, have adequate drawers and closet space, and an exit windows. Bathrooms: One bathroom is located inside of Bedroom #1, the second bathroom is located between Bedroom #1 and Bedroom #2, and the third Bathroom is located off the Den/TV room. LPA observed all bathrooms to be clean and in working order. The hot water was tested and was found to be between 105-120 degrees Fahrenheit. Living room: is equipped with 2 sofas, 2 chairs, and an non-operable fireplace. was observed to be clean and furniture was in good repair. Dining room: is equipped with a table and 6 chairs and a small TV in the corner. Report continued on LIC809C. Kitchen: was observed to be clean and equipped with a 4 burner gas stove, refrigerator/freezer, a microwave, and a dishwasher. The kitchen trash can was covered. There is also a locked cabinet off the kitchen which contains extra snacks. LPA observed the home to have a two day supply of perishable foods and a week supply of non-perishable food. Laundry area: is located in the kitchen behind double doors. Den/TV room: is equipped with 2 sofas, TV, desk, and a computer. There is a closet located off the den which contains sharp knives, the first aid kit and a locked box for medications. The closet remains locked at all time and is inaccessible to clients in care. The first aid kit was checked and found to be complete. Therapy room: is located outside off the backyard. The room is equipped with a desk, 2 chairs, a locked cabinet which used for confidential client information, an exit window, and a closet used to store extra supplies. The room will be kept locked when not in use. The backyard also contains two separate locked rooms. LPA observed one room to be used to store extra supplies, extra linens, and an additional refrigerator for extra food. The other room contains cleaning solutions, disinfectants, and extra hygiene items. All smoke detectors and carbon monoxide are operable. The home has regulation fire extinguishers, and there is a working telephone service for client's personal use. The home has adequate hygiene and grooming supplies, extra linen, and towels. The facility is clean, safe and sanitary. The yard is free of debris and hazardous material. Passageways, stairways, inclines, ramps and open porches are unobstructed. There were no bars on the windows. No bodies of water on the premises and no weapons in the facility. Facility met all posting requirements. LPA will return to review personnel and clients files to ensure it meets regulatory requirements. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. Personnel Files and client files are maintained off-site. Client and staff interviews will be conducted at a later date. There were no deficiencies were cited. An exit interview was conducted and a copy of this report was left with Administrator.

met_with: Administrator - Lorrie Irving


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, 2021 at 9: AM, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of reviewing staff and client records to complete the STRTP Annual Required Inspection which began on 09/22/2021. LPA met with the Administrator, Lorrie Irving and Facility Manager, Ayasha Johnson who granted access to location and provided the files. The Program has a total of fourteen Staff. LPA reviewed ten Staff files, and interviewed five Staff. LPA observed all Staff records included annual personnel performance evaluations, all staff have met the education and experience requirements, and have completed the required training's. All staff that work directly with clients have current First Aid/CPR cards in their files. The Program current has a total of five Clients. LPA reviewed a total three client files and interviewed two clients. LPA will return on a later date to complete review of client files and conduct remaining client interviews. There were no deficiencies noted on this date. An exit interview was conducted and a copy of this report was signed and left with the Facility Manager.


summary: Facility Evaluation

raw_content:
Narrative:
On September 29, 2021 at 1: PM, Licensing Program Analyst (LPA) Charmetha White arrived at the above location for the purpose of completing the reviewing of client files and to conclude the STRTP Annual Required Inspection which began on 09/22/2021. LPA met with the Facility Manager, Ayasha Johnson who granted access to location and provided the files. LPA reviewed a the remaining two client files and interviewed the remaining three clients. This inspection included an overview of required Core Services and Supports and based upon inspection of facility records and interviews of staff and clients. LPA discussed the following with the Facility Manager: Incident reporting, including incidents related to Law Enforcement contacts as well as incidents involving Emergency Intervention. Discussed procedures for CFT (Child and Family Team) meetings. Licensee is meeting all requirements. There were no deficiencies noted on this date. An exit interview was conducted and a copy of this report was signed and left with the Facility Manager.

met_with: Facility Manager - Ayasha Johnson


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Rosslyn Gray and Emelyn Sanchez P.,on February 21, 2023 at 8:45AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Gray and Sanchez P. met with Lorrie Irving-Dangerfield Assistant Executive Director and inspected the facility inside and out. LPAs reviewed #3 of child's records and #3 of staff personnel files on site at the facility. LPAs reviewed #3 of child's psychotropic medications and medication records. LPAs interviewed #3 of staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed #1 of the children currently prescribed psychotropic medication. LPAs provided a copy of this licensing reports to Lorrie Irving-Dangerfield, Assistant Executive Director. No deficiency were cited per Interim Licensing Standards for STRTP Version 4. Exit interview was conducted, and a copy of this report was left with Lorrie Irving-Dangerfield Assistant Executive Director.

met_with: Assistant Executive Director


summary: Facility Evaluation

raw_content:
Narrative:
On September 19, 2023 9:30AM, Licensing Program Analyst (LPA's Rosslyn Gray and Deborah Lee made an unannounced to DANGERFIELD HOME 4 for the purpose to conduct the Annual/Random Inspection. LPA met with the Program Administrator, who granted access into the home, and who provided a tour of the entire physical plant inside and out. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. There is a Naloxone Waiver on File. The census this day is five (5). The facility acquired The National Accreditation through Commission on Accreditation of Rehabilitation Facilities (CARF) valid extended through June 30, 2024. The facility current License, Mental Health Certification dated November 25, 2022, and expires November 24, 2023. There are no bodies on water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. Prior to the Inspection LPA conducted a Health and safety risk assessment upon arriving at the facility. STRTP Overview: The facility is a single-story home located in a residential neighborhood and it is constructed as follows: There are 3 bedrooms, three (3) full-size bathrooms, living room, kitchen and laundry area. Living room: is equipped with 2 sofas, chair, wooden coffee table, mounted TV, and has a non-operable fireplace. Adjacent to the living room there is a small round dinette set that seats four, a printer, locked medication cabinet equipped with the First Aid Kit is complete with scissors, tweezers, thermometer, gauzes, antiseptic and a 1st Aid Manual. There a small white cabinet that stores clients prescription and OTC medication (All medications are locked inaccessible to clients). Dining Area:/Multipurpose Room: is equipped with 2 sofas, mounted TV wooden dining table six (6) chairs printers, three bar stools (along the kitchen counter), art supplies, a book shelf. Bedroom #3 is located in the right corner. Lic Page 1 of Kitchen: is equipped with a a wooden table and 6 chairs, a stove/oven that has 5 gas burners, and a oven that separate from stove top. There is a microwave, air fryer, dishwasher and other small kitchen appliances. LPA's observed adequate perishable/nonperishable food supplies clients are provided nutritious snacks between meals. The Sharp knives, disinfectants/cleaning solutions made inaccessible to the children locked in cabinets. Water temperature measured within safe temperatures, at no less than 105 and did not exceed 120 degrees Fahrenheit. The food menu are posted on the front of refrigerator in the kitchen. Laundry area is located in the kitchen behind double doors. The laundry area is equipped with a washer and dryer unit that was observed to be in good condition. The laundry detergent is made inaccessible to the clients is distributed according to the load of the clients laundry. Disinfectants and chemicals are locked in cabinets made inaccessible. Bedrooms: each bedroom is equipped with one (1) twin sized beds, a comfortable mattress, clean linen, blankets and pillows. There is have adequate drawers and closet space. There is adequate lighting, and the windows and horizontal blinds observed to be in good condition. Bedroom #1: Currently occupied by one (1) client. Bedroom #2: Currently occupied by two (2) clients. Bedroom #3: Currently occupied by two (2) clients. Bathrooms: There are three (3) Bathrooms: Bathroom #1 located inside of Bedroom #1, Bathroom #2 is located between Bedroom #1 and Bedroom #2. Bathroom #3 is in the same area of the Dining Area:/Multipurpose Room Water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Located in the backyard area. The space is free of hazard materials and debris. The passageways and porches are unobstructed. LPA's observed all windows, screens, and horizontal blinds from the inside and outside of the facility were observed to be in good condition. There is a Barbecue Pit, an umbrella patio table with four (4) chairs, a a exercise stair master, a umbrella with two(2) separate locked rooms: The front and backyards were inspected and found to be clean and free of debris and observable hazards. Room #1 is identified as the Administrator/staff office: equipped with a sofa, two (2) office desk, a sliding closet door, stored with ample cleaning supplies and toiletries. Lic Page 2 of There is a locked door inside this office equipped with a large and a small freezer, extra linen and clothing. Room #2 is identified as the therapy room. Therapy room: The room is equipped with a desk, 2 chairs, a locked cabinet which used for confidential client information, an exit window, and a closet used to store extra supplies. The room will be kept locked when not in use. LPA's observed one room to be used to store extra supplies, extra linens, and an additional refrigerator for extra food. This room contains cleaning solutions, disinfectants, and extra hygiene items. There is one (1) facility vehicle parked outside inspected to be in good operating condition. Children will be accorded personal rights. Ombudsperson Grievances and Personal Rights are posted on the wall and a suggestion box mounted on the wall. There is a active facility phone is located is the living room, clients make private phones calls in the therapy office. LPA observed the child's Needs and Services plans kept in client's personal file; (filed in an individual binder). Children are accompanied to outside extracurricular activities and social events movie theater, bowling, skating, mall shopping. Clients are also accompanied parks and recreational facilities and amusement parks. LPA reviewed the Personnel Report (LIC 500) and confirmed that Direct Care Staff Ratio present for six (6) clients. LPA confirmed that All staff have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Clients Records Review: LPA reviewed three (3) clients records. Staff Records Review: LPA reviewed two (2) of (3) staff records. Staff Interviews: LPA conducted a confidential interview with two (2) of three (3) on duty staff. LPA will return to the facility a later to complete the inspection tool. Staff Records review one (1) staff records. Clients Interviews: three (3) clients Staff interviews: one (1) staff There were no deficiencies cited at this time. An Exit interview was conducted, and a copy of this report was left at the facility with the Facility Administrator. LIC Page 3 of 3


summary: Facility Evaluation

raw_content:
Narrative:
On September 27 2023 9:30AM, Licensing Program Analyst LPA's Rosslyn Gray and Deborah Lee made an unannounced to DANGERFIELD HOME 4 for the purpose to conduct a Case Management-Annual Continuation Inspection. Prior to entering the facility LPA conducted a Heath and Safety Risk assessment. LPA met with the Program Administrator, who granted access into the home, and provided a brief tour of the physical plant. This facility is Licensed to provide care and supervision for six (6) children ages 14-17 years old, Ambulatory only. The facility also provides services to non-minor dependents. There is a Naloxone Waiver on File. The census on this day is six (6). During the inspection LPA's conducted the following: Staff Interviews: LPA's conducted a confidential interview with one (1) staff on duty staff. Client Interviews: LPA's conducted a confidential interview with two (2) of three (3) clients available of site. There were no deficiencies cited at this time. LPA concluded the Annual/Random Inspection, an exit interview was conducted, and a copy of this report was left at the facility with the Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On December 12, 2023, at 12:37pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Dangerfield Home #4 for the purpose of conducting a collateral visit regarding allegations from a previous placement. LPA met with Freda Forrest, Facility Manager. LPA was informed that the Administrator is not at the facility today. LPA conducted a confidential interview with Client #3 (C3). Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report will be emailed to the Administrator.

met_with: Freda Forrest-Facility Manager