raw_content:
Narrative:
LPA interviewed involved staff, clients, and witnesses. Multiple staff and client interviews stated that there was no consumption of alcohol in or around the home by the client. Witness testimony and video evidence showed the client drinking around the home and in the carport under the home. The facilities program statement only prevents alcohol consumption in the home. Facilities internal investigation did not find any evidence of alcohol consumption in the home. Based on the available information LPA gathered from interviews and video evidence, the preponderance of the evidence standard has not been met, therefore, the allegation of the "Licensee did not prevent underage youth from consuming alcohol in the home" has been found to be unsubstantiated. LPA interviewed involved staff, clients, and witnesses. Staff and client interviews stated that smoking and drug use of ant kind is not happening in the home. Witness testimony and video evidence showed the client smoking around the home and in the carport under the home. The facilities program statement only prevents drug use in the home. Facilities internal investigation did not find any evidence of drug use in the home. Based on the available information LPA gathered from interviews and video evidence, the preponderance of the evidence standard has not been met, therefore, the allegation that the "Licensee did not address illegal drug use in the home" is found to be unsubstantiated. LPA interviewed involved staff, clients, and witnesses. Staff and client interviews stated that while there have been calls to law enforcement because of the actions of clients in the homes, it has not led to any charges or arrests, and it was actually the neighbor who called the police on the clients. Witness testimony shared that law enforcement has been called multiple times due to clients verbally and physically fighting with each other. LPA observed a video of Law enforcement at the complex trying to talk to one of the clients in their home due to a noise complaint. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Staff are not following proper reporting requirements" has been found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report.

Investigation Findings:
13On 3/28/25 at 10:40AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at Daisys House office and met with Administrator David Egans for the purpose of delivering complaint findings regarding the above allegation. LPA interviewed involved staff, clients, and witnesses. Staff and client interviews stated that there has not been any fights between the clients in care at the homes, and therefore nothing for the Licensee to address. A witness interview shared that there have been verbal and physical fights between the clients. LPA observed a video of a person smashing the windows of the home of a client, and another video of a group of people, including clients, yelling at each other in the courtyard of the housing complex late at night. LPA was unable to determine if the Licensee failed to intervene after those incidents. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Staff did not prevent inappropriate interaction between children in care" is found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DAISY'S HOUSEFACILITY NUMBER: VISIT DATE: 03/28/2025

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


state: CA

facility_name: DAISY'S HOUSE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
LPA received conflicting testimony and video evidence regarding fights between the clients. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff did not prevent inappropriate interaction between children in care" is found to be unsubstantiated. Allegation: "Licensee did not address youth behavior in the apartment complex resulting in numerous calls to law enforcement" LPA interviewed involved staff, clients, and witnesses. Staff and client interviews stated that while there have been calls to law enforcement because of the actions of clients in the homes, it has not led to any charges or arrests, and it was actually the neighbor who called the police on the clients. Witness testimony shared that law enforcement has been called multiple times due to clients verbally and physically fighting with each other. LPA observed a video of Law enforcement at the complex trying to talk to one of the clients in their home due to a noise complaint. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore the allegation of "Staff are not following proper reporting requirements" has been found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report.

Investigation Findings:
13On08/20/25 at 10: AM, Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith facilitated a informal office meeting with Administrator David Egans from Daisys House. LPA delivered the complaint findings regarding the above allegations. Allegation: "Licensee did not address fighting between youth placed in the home" LPA interviewed involved staff, clients, and witnesses. Staff and client interviews stated that there has not been any fights between the clients in care at the homes, and therefore nothing for the Licensee to address. A witness interview shared that there have been verbal and physical fights between the clients. LPA observed a video of a person smashing the windows of the home of a client, and another video of a group of people, including clients, yelling at each other in the courtyard of the housing complex late at night. LPA was unable to determine if the Licensee failed to intervene after those incidents. LPA was not able to determine which specific client or which of the clients' guests/friends was participating in the fights. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DAISY'S HOUSEFACILITY NUMBER: VISIT DATE: 08/20/2025

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

report_type: Complaint Investigation

met_with: Administrator David Egans

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the available information LPA gathered from interviews and video evidence, the preponderance of the evidence standard has been met, therefore, the allegation of the "Licensee did not prevent underage youth from consuming alcohol on the premises" has been found to be substantiated. Allegations: "Licensee did not prevent illegal drug use on the premises." LPA interviewed involved staff, clients, and witnesses. Staff and client interviews stated that smoking and drug use of any kind is not happening in the home. The Administrator stated that the Facilities internal investigation did not find any evidence of drug use on the premises. Other witness testimony and video evidence showed the client smoking around the premises, specifically in the carport under the home. LPA observed multiple video evidence of a client smoking in the carport on multiple occasions. The videos clearly show the client smoking either using a bong or a joint while in the carport under and around the housing unit. Based on the available information LPA gathered from interviews and video evidence, the preponderance of the evidence standard has been met, therefore, the allegation that the "Licensee did not prevent illegal drug use on the premises" is found to be substantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of the appeal rights.

Investigation Findings:
13On08/20/25 at 10: AM, Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith facilitated a informal office meeting with Administrator David Egans from Daisys House. LPA delivered the complaint findings regarding the above allegations. Allegation:"Licensee did not prevent underage youth from consuming alcohol on the premises" LPA interviewed involved staff, clients, and witnesses. Multiple staff and client interviews stated that there was no consumption of alcohol in or around the premises by the client. The administrator shared that the Facilities' internal investigation did not find any evidence of alcohol consumption in the home. Other witness testimony and video evidence showed the client drinking around the premises, specifically in the carport under the home. LPA observed multiple video evidence of a client drinking alcohol in the carport on multiple occasions. The videos clearly show clients drinking bottles and cans of alcohol while in the carport under and around the housing unit. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DAISY'S HOUSEFACILITY NUMBER: VISIT DATE: 08/20/2025

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

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On 04/29/ At 11: AM LPA Rosslyn Gray and LPM-Lakescia Smith met with Applicants -David Egans to conduct a Component 2 face to face meeting. The purpose is to address all issues and concerns that were found during the review the Application and Plan of Operation for the Daisy's House THPP-NMD. In the process of reviewing the application and the plan of operations LPA found noncompliance concerns. Applicant agreed to provide the required LIC forms to LPA-Gray within 30 days (05/29/2021) LIC610C Emergency Disaster Plan (LIC 610 or LIC 610) Incomplete Board of Resolution, LIC Board of Directors Statements, Article of Incorporation; By Laws, First aid Certification/CPR for David CEO; Control of Property. LPA and LPM and discussed Regulations 86087. Administrative Offices/Sub-Administrative Offices. LPA-Gray and LPM-Smith- discussed Plan of Operations that does not comply with licensing requirement. Applicant agreed to provide the required revisions to the plan of operations within 30 days. LPA discussed the sections that must be revised. The following documents were received: Transcripts, Degrees, resumes. LIC 503- Health Screen reports. The Applicant Mr. Egans will follow up with city planning and obtain verification on whether he can operate a THPP administrative office in a Single Family Home and also determine if he needs a business license at the same residence. The applicants were congruent with requirements and agreed to make necessary revision to the program and return to LPA Gray by 05/29/2021.

report_type: Facility Evaluation

met_with: APPLICANTS DAVID & RICKIS EGANS


summary: Facility Evaluation

raw_content:
Narrative:
On July 8, 2020 at 10: AM Licensing Program Analyst (LPA) Rosslyn Gray made an unannounced visit to the Transitional Housing Placement Program for the purpose of conducting a Pre-licensing. LPA-Gray with the Administrator toured the administrative office. Applicant will utilize an office space at the above address as the administrative office. The administrative office Suite #115 accommodates only THPP staff and consists of key entrance that leads to office. he office is a comfortable setting, average room temperature and ample office supplies. The office space is a private suite with one (1) office desks a personal computer (laptop) and a welcome desk. LPA observed one (1) 2 drawer file cabinet. The printer is located in the main common area. The file cabinets that will be utilized to store the participants records. Per applicant, the staff records will remain on site and will utilize the available cabinet space at the administrative office. The administrator ensured that copies of confidential records will be kept in a secure area or in a locked file cabinet. The administrator ensured that the Administrative office in not be located more than two hours' travel by automobile from the THPP participant living units. LPA observed the location of the smoke detector and ensured that it is operable at the time of the inspection. LPA toured the conference room that will be reserved to provide privacy to conduct confidential interviews, meetings with clients and staff, training to maintain social distance and social workers and authorized representatives. LPA conference room is equipped with a large conference table, small table, six (6) a chairs, and a a 42 inch television. There is a locked exit door. The administrator has access keys to to all entrances and exits. LPA observed a single woman and men's restroom located down the hallway to the right of the conference room that was operable. There were no deficiencies cited at this time. Exit interview was conducted and this report was left at the Administration office.

visit_type: Prelicensing

met_with: Adminstrator


summary: Facility Evaluation

raw_content:
Narrative:
On 02/17/2022 at 9:30AM Licensing Program Analyst (LPA) Olivia made announced to Daisy's House Transitional Housing Placement plus Foster Care (THP + FC) Administrative Office for the purpose to conduct Post Licensing Inspection. LPA Rosas met with Administrator, Staff#1(S1) who granted access to the Administrative Office and an inspection was conducted together. Individuals mention in this report are identify on the Confidential Names List (LIC811) dated 02/17/22. The annual fees are current. LPA Rosas inspected following during the inspection The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to thirty (30) participants ages eighteen (18) through twenty one (21). There are currently two (2) participants in placement in a remote site in Santa Clarita County. Facility has one (1) Social Workers (1 per 12 participants) and one (1) Social Worker Supervisor (1 per Social Workers). The facility is currently operating within staff ratio. The administrative office is located at Constellation Road., Suite 114., Valencia, CA 91355. The office is located on the first floor of a business office building and is set up as follows: The administrative office Suite #115 accommodates only THPP staff and consists of key entrance that leads to the office. The office space is a private suite with one (1) office desks a personal computer (laptop) and a welcome desk. LPA observed one (1) 2 drawer locked file cabinet. The printer is located in the main common area. The file cabinets that will be utilized to store the participants records. Per S1, the staff records will remain on site and will utilize the available cabinet space at the administrative office. The administrator ensured that copies of confidential records will be kept in a secure area or in a locked file cabinet. In the business office building there is one (1) conference rooms that licensee states are available to conduct private interviews. All posting requirements were met. Report continues on LIC 809-C Page 1 of LPA Rosas reviewed following during the inspection LPA Rosas requested the following forms for review, copy Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). The certification/decertification list of participants living units. Staff Records Review: LPA reviewed four (4) staff records stored in individual personnel file provided by S1. LPA ensured to thoroughly review the records of the primary active staff (i.e The Program Administrator, Supervising Case Manger, Social Worker). LPA reviewed the Personnel Report (LIC 500) and confirmed that facility has two (2) Social Workers (1 per 12 participants) and one (1) Social Worker Supervisor (1 per Social Workers) who carries social worker caseload. The facility is currently operating within staff ratio. LPA review of Facility's Personnel Report Summary on 02/07/2021 that indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA reviewed staff qualifications and training hours. The facility has social worker personnel available on a 24-hour basis to respond to any emergency. Clients Records Review: LPA reviewed one (1) client records which meet requirement. LPA reviewed the Admission Agreements, date of placement in unit, Emergency Contact information, and Needs and Services Plan. LPA Rosas provided A1 the following PIN 21-05-CRP: The Family Urgent Response System (FURS), .Pin 21-26-crp, Rom 22-01-ccld, Pin 20-17-crp, Pin21-03-crp. There were no deficiencies observed or cited at this time. Exit interview was conducted with Sq and a copy of this report was left at the facility.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On August 17,2022 at 9:30 a.m., Licensing Program Analyst (LPA) Kuliema Calloway and Licensing Program Manager (LPM), Kevin Sauk, made an unannounced inspection visit to conduct an Annual inspection. LPA/LPM met David Egan Facility Administrator, (FA) who granted access and a tour of the administrative office. The facility is a Transitional Housing Placement Program licensed to care for Non- Minor Dependent clients. (See confidential name list LIC811 dated 08/17/2022). LPA/LPM and FA inspected the facility administrative office and observed the following: The administrative office Suite #115 accommodates only THPP staff and consists of key entrance that leads to the office. The office space is a private suite with one (1) office desks. LPA/LPM observed one (1) two drawer locked file cabinet. The was no accessible printer. There file cabinet is locked that will be utilized to store the participants records. In the business office, there is one (1) conference room available to conduct private interviews. All posting requirements were met. LPA observed a single woman and men's restroom located down the hallway to the right of the conference room that was operable. A mail box to receive mail. The administrator ensured that the Administrative office in not be located more than two hours' travel by automobile from the THPP participant living units. LPA observed the location of the building sprinklers at the time of the inspection. Continued on 809C LPA/LPM requested the following forms for review, copy Register of participants, Current Census, Personnel Report (LIC 500), Emergency Disaster Plan for Children's Residential Facilities (LIC 610C). The certification/decertification list of participants living units. LPA ensured to thoroughly review the records of the primary active staff (i.e The Program Administrator, Facility Manager, Case Manager, Supervising Social Worker). LPA reviewed the Personnel Report (LIC 500) and confirmed that facility has one (1) Social Workers (1 per 12 participants) and one (1) Social Worker Supervisor (1 per Social Workers) who carries social worker caseload. The facility is currently operating within staff ratio. LPA review of Facility's Personnel Report Summary on 8/17/2022, that indicates that all personnel have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. LPA reviewed staff qualifications and training hours. The facility has the Administrator available on a 24-hour basis to respond to any emergency. Clients Records Review: LPA reviewed two (2) client records which meet requirement. LPA reviewed the Admission Agreements, date of placement in unit, Emergency Contact information, and Needs and Services Plan. There were two (2) deficiencies observed or cited at this time. See D. Exit interview was conducted and a copy of the report was left with David Egans, Facility Administrator (FA).

visit_type: Annual

met_with: David Eagan, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2022 at 9: AM., Licensing Program Analyst (LPA) Kuliema Calloway made an unannounced inspection visit to conduct a Case Management Continuation inspection. LPA met with Rickia Egans, Facility Manager, (FM) who granted access and a tour of the administrative office. The facility is a Transitional Housing Placement Program licensed to care for Non- Minor Dependent clients. (See confidential name list LIC-811 dated 09/22/2022). LPA conducted one staff interview with FM and Client's Records Reviews. There were two deficiencies cited at this time. See D. Exit Interview was conducted. A copy of this report was left with Rickia Egans, FM.

visit_type: Case Management

met_with: Rickia Egans, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On October 7, 2022 at 10:00 a.m., Licensing Program Analyst (LPA) Kuliema Calloway made an unannounced inspection visit to conduct an Annual inspection. LPA met David Egans, Facility Administrator, (FA) who granted access and a tour of the administrative office. The facility is a Transitional Housing Placement Program licensed to care for Non- Minor Dependent clients. (See confidential name list LIC-811 dated 10/07/2022). LPA conducted Staff Interview with (FA). LPA viewed staff records and found two out of four staff: (FA) and (CM) are missing the medical assessment and three out of three staff: (FA, FM, and CM) are missing the TB screening test proof and negative results. (CM) did not have proof of education in the staff files. There were three (3) deficiencies cited at this time. See 809-D. Exit interview was conducted. A copy of this report was left at the facility with the FA.


summary: Facility Evaluation

raw_content:
Narrative:
On October 27, 2022 at 10:00 a.m., Licensing Program Analyst (LPA), Kuliema Calloway and Licensing Program Manager (LPM), Kevin Sauk, made an unannounced inspection visit to conduct an Annual-Continuation inspection in order to conduct a collateral inspection of the facility's remote sites. LPA met participant (C1), who provided a tour of the apartment unit inside and out. (See confidential name list LIC-811 dated 10/27/2022). Currently residing at E. Martin St., Los Angeles, CA Unit #3 are Participants (C1 and C2). C2 was not available at the time of the inspection. The following was observed in Unit #3: Two (2) bedrooms, and one (1) bathroom. There is a living room and kitchen with a sink. There is a working stove and dining area that seated four (4). There were 3 chairs available for seating. There is an adequate food supply, fire extinguisher was fully charged. Smoke detector and carbon monoxide detector are in working condition. There is additional bed linen stored in the separate bedrooms. There is a land line phone inside the unit. C2 has a service animal (cat) present in the unit. Currently residing at E. Martin St., Los Angeles, CA Unit #1 are Participants (C4). Licensing staff met with Facility Administrator (FA), who provided access to Unit #1. C4 was not available at the time of the inspection. There is a land line phone inside the unit. The following was observed in Unit #1: One (1) Bedroom with two twin beds and (1) bathroom there is a kitchen, sink, and dining area. There is a working stove and seating for four (4). There were three chairs available for seating. There is an adequate food supply, fire extinguisher was fully charged. Smoke detector and carbon monoxide detector are in working condition. Exit interview was conducted. A copy of this report was left at the facility with the FA.


summary: Facility Evaluation

raw_content:
Narrative:
On July 26, 2023, at 9: AM, Licensing Program Analyst (LPA),Christine Wilson made an unannounced visit to Daisy's House, Transitional Housing Placement Program (THPP) for the purpose of conducting an Annual inspection at the sub-administrative office located at Bradley Ave Sylmar CA Unit1. LPA Wilson met with FA who granted access to the facility and an inspection of the facility was conducted together. (1) staff (S1) were on site. (2) client residents (C1, C2), were at the facility. Individuals mentioned in this report are identified on the Confidential Names List (LIC811) dated 07/26/2023. This facility is a two-story Transitional Housing Placement Program (THPP) licensed to provide care and supervision for thirty (30) non-minor dependants ages 18-23 years old, ambulatory only. There is no pool or bodies of water on the premises. Staff confirmed that there are no firearms or dangerous weapons in the facility. There are no functional cameras in the facility. The facility is current with their annual fees. (Page 1 of 2) LPA Wilson inspected the following: This is a (4) four- bedroom,(4) four bathrooms, two-story family residence that includes a living room, dining area, kitchen, side yard, and an attached garage. There are no vehicles used for this facility. Kitchen: stove, refrigerator, sink, dishwasher and microwave are in good repair. Water was tested and has a temperature of 80 degrees. Dining Area: Has a table and (4) chairs) Living Room: Has a couch for (3) persons, chair, internet and phone. Bathroom 1: This is a downstairs bathroom with sink and toilet. Water was tested and has a temperature of 80 degrees. Side Yard: Features a cinder-block wall 6ft, and paved walkway Garage: This is a single car garage that will be used for storage. (Continued on 809C page 2) (Annual Inspection continued from Page 1) Bathroom 2: This is an upstairs bathroom for bedroom 1, with sink, shower and toilet. Water was tested and has a temperature of 80 degrees. Emergency ladder and additional bath towels are in a closet in the bathroom but were moved to the hallway closet Hallway Closet: Additional bath towels and bed linens and pillows Bedroom 1: Single resident, (4 drawers) bed with new linens, closet with clothes hangers, and emergency ladder Bedroom 2: Single resident, (4 drawers) bed with new linens, closet with clothes hangers Bedroom 3:No resident, (4 drawers) bed with new linens, closet with clothes hangers and emergency ladder Bathroom 3: This is an upstairs bathroom is shared between bedroom 2 and bedroom 3 with sink, shower and toilet. Water was tested and has a temperature of 80 degrees. Bedroom 4: No resident, (4 drawers) bed with new linens, closet with clothes hangers and emergency ladder Bathroom 4: This is an upstairs bathroom for bedroom 4, with sink, shower and toilet. Water was tested and has a temperature of 80 degrees. Posted in the entryway is the facility license, certificate of compliance, emergency phone numbers and foster youth bill of rights. No deficiencies were cited at this time. A copy of this report will be emailed to the licensee.

met_with: Facility Administrator (FA)


summary: Facility Evaluation

raw_content:
Narrative:
Annual Continuation - Record Review On August 3, 2023 at 2:20pm, Licensing Program Analyst (LPA) Christine Wilson conducted an unannounced inspection, at the above-said facility,Daisy's House, Transitional Housing Placement Program (THPP) for the purpose of continuing the Annual inspection. LPA Wilson met with the Program/Facility Manager (FM) Rickia Egans who granted access to the facility and an inspection of the facility files was conducted together. LPA Wilson conducted a staff interview with FM. Individuals mentioned in this report are identify on the Confidential Names List (LIC811) dated 08/03/2023. LPA Wilson conducted the file review for four (4) clients (C1, C2, C3,C4), and four (4) staff (FA, FM, S1, and SWS).. [See Confidential Names form (LIC811), dated 08/03/2023, for names.] Operational Requirements: LPA Wilson observed that non-discriminatory notice, facility license, foster youth bill of rights, facility sketch floor plan, emergency plan, crisis hot line contacts, Covid-19 resource important phone numbers and certification of compliance were posted upon entrance to the facility. Disaster Preparedness: LPA Wilson observed written procedures to address emergency procedures, monthly emergency drills, a disaster and mass casualty plan, a roster and contact information for clients and evacuation. Emergency Intervention: Restraints are not used in the facility. Staffing Records: A review of records shows that all staff have FBI, DOJ and Child Abuse Index Check clearances, educational transcripts, first aid/cpr certification and identification. Client Records: A review of records shows that all clients have a TILP and a Needs and Services Plan will be addressed within the 30 days of placement, placement agency forms, intake packet, mental health documents, medical forms, educational documents, and financial agreements. Per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Transitional Housing Placement Program (THPP) Interim Licensing Standards (ILS), AB12 for Non-Minor Dependents, there are no deficiencies to be cited at this time. Exit Interview conducted, and a copy of this report was emailed to the licensee.

met_with: Program/Facility Manager (PM)


summary: Facility Evaluation

raw_content:
Narrative:
On 4/22/24 at 10: AM Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to Daisy's House Transitional Housing Placement Program (THPP) for the purpose of conducting aAnnual/Random inspection visit. LPA met with David Egans, THPP Administrator and toured the administrative office. Applicant is utilizing an office space at the above address as the administrative office. The office space is a private suite with one desks . LPA also observe one file cabinet and a printer in the office. The file cabinet is utilized to store the participants and staff records. LPA requested and received a copy of the staff and client roster. LPA reviewed staff and client files. LPA will return to conduct a physical plant inspection at the Housing Units. A copy of this report was given to the Administrator. Exit Interview Completed. No deficiencies cited.


summary: Facility Evaluation

raw_content:
Narrative:
On 4/29/24 at 10: AM Licensing Program Analyst (LPA) Reagan Cohen made an unannounced visit to Daisy's House Transitional Housing Placement Program (THPP) living units at Aldama St and Martin St. for the purpose of conducting an Annual/Random inspection visit. LPA met with Mariya Libman THPP Social Work Supervisor (SWS), and toured the housing units. LPA conducted a physical inspection of four of the living units. Details recorded on LIC-812. LPA also conducted staff and client interviews, recorded on LIC-812's. LPA requested a copy of the Disaster training and facility sketch, which SWS will email to him. SWS will also email LPA a picture of the smoke detector with a new battery. A copy of this report was given to the Social Work Supervisor. Exit Interview Completed. No deficiencies cited.

met_with: Mariya Libman Social Work Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 8/20/ Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith conducted an informal office meeting with Daisy's House Administrator David Egans and Mrs. Egans. The purpose of the meeting was to discuss CCL concerns. The following topics were discussed: The Complaint Investigation 12/16/24: client smoking and alcohol use on the premises Care and Supervision: Minor being left unsupervised,possible need for increased staff supervision Reporting Requirements: Law Enforcement involvement and non client breaking a window, missing incident reports NMD Violating THPP Contract: consequences for NMD when violating contract Staff and Client Files: Personnel and NMD records are incomplete and not made available during CCL site visits, updating Plan of Operation Licensee informed LPA and LPM that there was a dispute between a tenant and the owner, but CCL informed Licensee that we had concerns regarding compliance to regulations regarding the NMD's smoking and using alcohol on the premises.Licensee conformed that there was an incident with an NMD's girlfriend breaking a window and a Law enforcement report was made. CCL reminded Licensee to report these incidents to CCL as they are reportable incidents. CCL informed provider that they should conduct internal investigations with clients and staff to determine whether there is a violation of the plan of operation or CCL regulations. Provider was also informed to document consequences and make sure it is accessible to CCL when NMD's violate their contract. Although it is undetermined whether the NMD's child was left unsupervised there is a possibility of a lack of supervision during the times that the client was smoking and drinking in the car port. CCL suggests that case managers conduct meetings at different times throughout the week and more frequently to verify compliance to NMD THPP contract. Licensee stated that they provide staff and clients with drug and alcohol abuse awareness resources, this should be recorded in client's files if client has a history of substance abuse. Provider informed CCL that clients sign logs when attending the provided life skills training's. Case Managers conduct face to face case management visits weekly, to preform environment checks and to provide life skills training. This documentation must be made available to CCL. CCL received the revised Plan of Operation and will follow up with the provider within 30 day to determine whether the revisions meet licensing requirements. CCL will move forward with the capacity increase. Provider must submit personnel report LIC 500 showing updated supervision/work schedule for updated capacity. Exit Interview Completed and a copy of this report was given to the Administrator.

visit_type: Complaint Investigation


summary: Facility Evaluation

raw_content:
Narrative:
On September 22, 2022, at 9:30 a.m., Licensing Program Analyst (LPA), Kuliema Calloway, made a Case Management visit to the above address. LPA was greeted by Rickia Egans, Facility Manager, who granted access to the administrative office. On 07/20/2022, Licensing Program Analyst (LPA) and Licensing Program Manager (LPM), Kevin Sauk, attempted an annual inspection visit and neither the Administrator nor other facility staff were made available to Licensing Staff to provide access into the administrative office, nor the participants' living units, for inspection. On 07/20/2022, the Administrator, and the Facility Manager were out of town, and no one was available for the licensing agency to inspect the administrative office, and the THPP staff residential units. Per Interim Licensing Standards, Title 22, Division 6, Chapter 7, there is one (1) deficiency cited at this time. See D. Exit interview was conducted and a copy of the report was left with Rickia Egans, Facility Manager FM.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/18/ Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith arrived at the Dasiy's House administrative office and conducted an unannounced inspection regarding a case management-other inspection. During the course of the inspection LPA and LPM requested to review client files but were provided incomplete physical files and could not review the electronic files.LPA and LPM also requested to review the staff file but they were not availible for review. Licensee was cited in violation for Personnel Records 86066 and Non-Minor Dependant Records 86270. Exit Interview completed with Administrator David Egans. A copy of this report was given to Administrator David Egans.


facility_name: DAUGHTERS OF LOVE SHETLAND FACILITY-THPP

summary: Facility Evaluation

raw_content:
Narrative:
On December 17, 2021 at 8: AM, Licensing Program Analyst's (LPA) Anastasia Flores, Charmaine Linley and Jessica Rubio arrived and were greeted by Daughters of Love, Transitional Housing Placing Program (THPP), Facility Director, Medina Pina. The purpose of the visit is to conduct a pre-licensing inspection of the facility. At 09: AM, LPA's began tour of the facility with Medina Pina for a pre-license of a Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The corporate office is in the process of being obtained by February 1, 2021. There are five bedrooms and three bathrooms. LPAs observed a television in both living rooms and furnished with couches and chairs. The facility will have locks placed on the bedroom doors prior to accepting clients and each client will have their own entrance code to their rooms. The administration will keep a master key in case of emergencies. The common areas for residents are the kitchen, two sitting areas, living room with ample sitting space, television and a fireplace with proper coverings for safety. There is ample parking for residents and staff. The laundry area had a washer and dryer. The facility has ample storage space in the garage. The garage will be emptied prior to accepting clients. The windows had blinds for privacy. LPA Flores informed Ms. Pina the screens on the windows will need to be replaced prior to obtaining clients. The exit in the backyard has some debris which will be removed by 12/31/ Downstairs; 1 bedroom with a full-size bed, dresser to be utilized by NMD. Upstairs; Master bedroom with a king size bed, dresser, walk in closet and master bathroom for NMD, One bedroom with a full-size bed, dresser, closet door needs to be replaced for NMD. One bedroom with a twin-size bed, dresser, no closet. One bedroom with a full-size bed, dresser, and closet () LPA's observed there are clean mattresses, pillows, and beds are in good repair. The facility has plenty of linens. The residents will be given chores. It was discussed the possibility of assigning meal duties to clients in care to assist with the independent living activities. Residents are allowed to create a list for specified groceries and go shopping with the Facility Manager weekly. The following were discussed: During the meeting component II and component III were discussed. LPA's discussed Post Licensing Visits that Community Care Licensing (CCL) may provide, solutions to problematic areas, overview of Title 22, THPP regulations; personal fingerprint requirements, abuse reporting requirements and licensing fees. LPA's communicated about LPA's responsibility; Special Incident reporting requirements, for LIC624, CC: internal procedures, AB388 reporting form LE624E. The facility will be notified once they are provisionally licensed as a THPP/NMD facility. License will expire one year from effective date. Facility will be licensed for a capacity of 10 clients. Facility accepts only ambulatory clients. It was discussed the possibility of expansion for the facility license in the future as stated in the program statement. LPA provided applicant with a copy of the special incident report and provided applicant the email address and directions on reporting incidents to Community Care Licensing Riverside Office. It was discussed that the client files and staff files need to be at a location off site in a corporate office, to be utilized for staff trainings, counseling for clients and meetings. Original Board of Directors signature pages need to be obtained. LIC309, treasurers last name to be corrected, Criminal background clearances, applications, for all employees associated with the facility. Educational records, transcripts, for Shelly McCall, Medina Pina and Toni Piper to be obtained. Pages 65-66 part 1 of the Plan of Operation (room arrangements) to be corrected. No other plan of operation updates is needed prior to issuing provisional license. An exit interview was conducted with facility representatives.

met_with: Medina Pina


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA) Jessica Rubio arrived to verify corrections requested on the Pre-licensing visit made on 12/17/2021. LPA verified the debris in the backyard and garage had been cleared. Screens on the windows were replaced except for four (4) in the front room of the facility. Administrator will send LPA pictures with these screens replaced. LPA also obtained requested forms.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Jessica Rubio arrived to verify the office location of the facility. The office is located at W Fifth St Ste 101, San Bernardino, CA 92401. LPA met with Administrator Medina Pina who granted access to the office. The office consists of a reception area, one office and one conference room. Administrator provided a copy of the lease as well. LPA advised that the client and staff files should be kept in a locked file cabinet in a locked office. A copy of this report was provided to Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On November 2, 2022 at 9:00 am, Licensing Program Analysts (LPA) Toni Castillo made an unannounced post-licensing visit. There was no one at the facility. LPA made a phone call to Program Director Medina Pina who came to facility to meet LPA and grant access into the facility. The purpose of this inspection was to conduct an unannounced post-licensing inspection for a Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The facility was assessed both inside and out with the Program Director. Currently the THPP has zero NMD placement's. There are no remote apartments for this THPP. Both administrative office and home is licensed as the THPP. The THPP facility is located in Riverside County. The facility is located in a residential establishment. This is a residential home with an administrative office, The facility has five bedrooms The common areas for residents are the kitchen, two sitting areas, living room with ample sitting space, television and games. There is ample parking for residents and staff. The laundry area has a washer and dryer. The facility has ample storage space in the garage. The facility has restrooms for NMD use. THPP license was posted in the entry area. Due to there being no NMD placement's LPA did not review any client or staff files. Based on the post licensing inspection on this date, the THPP is in compliance. An exit interview was conducted with Program Director Medina Pina and a copy of this report was emailed to the facility.

met_with: Program Director


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 3rd, 2023 at 10: AM Licensing Program Analysts (LPA's), Emina Preciado and Darlene Almaraz-Oseguera, conducted a random annual visit at Daughter's of Love, Transitional Housing Placement Program (THPP). LPA's met with Administrator, Medina Pina, who granted access to the office, which is a retail business establishment. The Administrative office is located at: W. Fifth Street Suite 101, San Bernardino, CA 92401. The facility address is incorrect as is listed as one of the remote cite. The office consists of a reception area, two offices and one conference room. The facility has Wi-Fi accessibility. The restroom are located inside the building. The facility currently has four participants in one remote site, the remote site is within two hours from the office location. This remote cite is in the city of San Jacinto. During the visit, LPA's reviewed four participant files. All four participants files reviewed were complete and had the required documents. Staff files were not reviewed during this inspection, as they were not available. LPA's will return at a later date to review the four staff files. Based on record reviews and observation, the facility is not in compliance and is being cited under, CCR 86066(a) Personnel Records. Exit interview conducted, appeal rights were discussed and provided. A copy of this report along with LIC 809-D page was provided to facility representative.

Deficiencies:
86066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information

met_with: Medina Pina, Administrator


facility_name: DAUGHTERS OF LOVE THPP

summary: Facility Evaluation

raw_content:
Narrative:
On April 5, 2024 at 1: PM Licensing Program Analysts (LPA's), Emina Preciado and Rachel Vanegas, conducted a pre-licensing inspection at Daughter's of Love, Transitional Housing Placement Program (THPP). LPA's met with Case Manager, Maura Benigni-Kline, who granted access into the office. The purpose of the pre-licensing inspection was due to the administrative office relocating. The office is located in a two story retail business establishment at: W. Fifth Street Suite 101, San Bernardino, CA 92401. The administrative office is on the first floor and consists of: a resource center, reception area, one staff office, and one conference room. The facility has a working telephone, Wi-Fi accessibility, and a private area for confidential interviews. The restrooms are located inside the building on the first floor. Participant and personnel records are stored in a secure area, a locked filing cabinet. The facility currently has seven participants and has two remote sites. The remote sites are within two hours from the office location in the cities of Beaumont and San Jacinto. Based on observation and record review, the facility meets the regulatory requirements and is ready for licensor at the conclusion of the visit. Exit interview conducted and a copy of this report was provided to facility representative.

met_with: Case Manager, Maura Benigni-Kline


summary: Facility Evaluation

raw_content:
Narrative:
On August 2, 2024 at 1:31 pm, Licensing Program Analyst (LPA), Emina Preciado, conducted an unannounced post-licensing visit at Daughters of Love, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The purpose of the visit was to conduct a post-licensing inspection. LPA met and did a walk through of the facility with Case Manager, Maura Benigni-Kline. The administrative office is located in a two story retail business establishment. The office is on the first floor and consists of: a resource center, reception area, one staff office, and one conference room. The facility has a working telephone, Wi-Fi accessibility, and a private area for confidential interviews. The facility license is posted in a prominent location. The restrooms are located inside the building on the first floor. LPA observed that participant and staff records are stored in a locked cabinet, inside of an office, that can be accessed with a key. Currently, the THPP has eleven participants and six staff. The THPP is staffed with one Program Director, one Program Manager, one Case Manager Supervisor, one Case Manager, one Peer Specialist, and one Administrative Assistant. Additionally, the THPP has three remote sites. The remote sites are within two hours from the office location in the cities of Beaumont, San Jacinto, and Hemet. During the inspection. LPA reviewed five participant files and five staff files. Five of five staff files reviewed had a completed health screening/tuberculosis (TB) test results. Five of five staff files reviewed had FBI, DOJ, and Child Abuse Index Check clearances on file. Five out of five staff records reviewed had completed a minimum of one hour training in child abuse identification and met the minimum qualifications as required by the Department. Five out of five participant files reviewed had an admission agreement, medical/education history, immunization records, an initial/current Needs and Services Plan (NSP), a completed Transitional Independent Living Plan (TILP), and signed facility discharge procedures on file. Operational and disaster preparedness documents are maintained at the facility and were available for review. * LIC 809-C* Staff was informed that each Case Manager should maintain a 1 to 12 ratio, which should not be exceeded. Staff is aware of submitting unusual incident reports as needed to the Department and to include all Law Enforcement contacts. Based on observation and record review, the facility is in compliance and no deficiencies were noted at this time. Exit interview conducted and a copy of this report was provided to Case Manager, Maura Benigni-Kline.

met_with: Maura Benigni-Kline, Case Manager


summary: Facility Evaluation

raw_content:
Narrative:
On July 1, 2025 at 02:00 pm, Licensing Program Analyst (LPA), Raina Perez-Diaz, conducted an unannounced annual visit at Daughters of Love, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). The purpose of the visit was to conduct a random annual inspection. LPA met and did a walk through of the facility with Program Director, Medina Pina. The administrative office is located in a two story retail business establishment. The office is on the first floor and consists of: a resource center, reception area, one staff office, and one conference room. The facility has a working telephone, Wi-Fi accessibility, and a private area for confidential interviews. The facility license is posted in a prominent location. The restrooms are located inside the building on the first floor. LPA observed that participant and staff records are stored in a cabinet, inside of a locked office, that can be accessed with a key. Currently, the THPP has nine participants and six staff. The THPP is staffed with one Program Director, one Program Manager, one Case Manager Supervisor, one Case Manager, one Peer Specialist, and one Administrative Assistant. Additionally, the THPP has three remote sites. The remote sites are within two hours from the office location in the cities of Beaumont, San Jacinto, and Hemet. During the inspection LPA reviewed five staff files. Five of five staff files reviewed had a completed health screening/tuberculosis (TB) test results. Five of five staff files reviewed had FBI, DOJ, and Child Abuse Index Check clearances on file. Five out of five staff records reviewed had completed a minimum of one hour training in child abuse identification and met the minimum qualifications as required by the Department. ** LIC 809-C** Five out of five staff files, which included the Program Director's file, reviewed did not have the required training related to the sexual and reproductive rights of children in foster care and training on the policy and procedures concerning when and how to involve law enforcement in response to an incident involving a participant residing in a THPP living unit. The Licensee was unaware of the required training and was actively working on obtaining the training mentioned above during the inspection; therefore, a Technical Violation was given with the expectation the training will be obtained and completed within 30 days. A copy of the training agenda, topics, and attendance sign-in sheet or certification of completion for all staff members must be submitted via email to the LPA by July 31, 2025. If not provided by July 31, 2025, LPA will return to issue a citation. A review of administrative records indicate that the facility has an outstanding balance for their current licensing fees: $1,021.00. The Licensee was provided California Department of Social Services (CDSS)'s fee payment web site link and facility pin to resolve their outstanding balance, which was paid via the payment portal prior to LPA leaving the facility. Due to time constraints LPA will return to the facility to complete the inspection at a later date. Exit interview conducted and a copy of this report, LIC 811, LIC 811-C, and three LIC 9102 were provided to Program Director, Medina Pina.

met_with: Program Director- Medina Pina


summary: Facility Evaluation

raw_content:
Narrative:
On July 2, 2025 at 11: AM, Licensing Program Analyst (LPA), Raina Perez-Diaz, conducted an unannounced continuation annual visit at Daughters of Love, Transitional Housing Placement Program (THPP) for Non-Minor Dependents (NMD). LPA met with Program Director, Medina Pina. During the time of inspection LPA Perez-Diaz reviewed files for five clients in care [Client #1 (C1) - Client #5 (C2-C5)]. All clients' files were found to have Cash/Property/Valuables records, Medical Consent forms and Transitional Independent Living Plan (TILP). Five out of five client files (C1-C5) Needs and Services Plans reviewed were incomplete, due to missing information regarding the discharge plan and missing signatures from the THPP personnel and responsible placing agency representative; therefore, a deficiency will be cited to THPP Interim Licensing Standards (ILS) NEEDS AND SERVICES PLAN 86268.3(a) The THPP administrator or social work personnel shall complete a Needs and Services Plan for a NMD that is consistent with the Transitional Independent Living Plan of the NMD. Additionally, LPA advised Licensee of quarterly provider meetings for Congregate Care providers and how to register to receive Provider Information Notices (PINs), which will include updates to licensing forms. LPA also conducted two staff interviews. Based on the facility inspection and file reviews on this date, one Type B violation was issued to the facility. An exit interview was conducted, and a copy of this report, the LIC 811, LIC 809-D, and appeal rights were given to Program Director, Medina Pina.


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
...page Complainant was interviewed on July 23, C1 was interviewed on July 30, 2024. TSW was interviewed on May 16, 2025. Director interviewed on May 19, The investigation revealed the following: It was alleged that the placement was in disrepair and staff did not ensure that placement was free of pests. Review of documents showed that a youth moved into an apartment provided and maintained by the THPP on June 21, 2024. Shortly after moving into the apartment, youth noticed fleas in the apartment. Youth advised THPP about the fleas and requested carpet to be cleaned. In confidential interviews it was revealed that the youth sent a picture to the Transitional Social Worker showing fleas in the apartment and on the rug. TSW said that there were fleas in the picture received, however it was not determined if the fleas were dead or alive. LPA observed documentation that the THPP treated the apartment two (2) times before youth moved in. It was revealed that there were fleas and bugs on the carpet. TSW said the THPP treated the apartment for fleas and changed the carpet after youth complained. Youth could not stay at the apartment due to the fleas biting. Youth stayed at a relative's home, until the issue was resolved or relocated to a new apartment. In other interviews, the THPP was not made aware that the bathtub would not drain. LPA observed documentation showing THPP treated the apartment for pests prior to youth moving into the apartment. THPP made attempts to fix the issues brought to their attention. Pest control treatment occurred on May 7, 2024, and May 14, 2024. Apartment professionally cleaned on June 17, 2024. Youth moved into apartment on June 21, 2024. Pest control treatment on June 24, 2024, and June 26, 2024. Carpet washed June 27, 2024. THPP moved youth into a new apartment on July 11, 2024. Continued on page 3 page Based on the information gathered, although the allegations may have happened or is valid, the preponderance of evidence to prove the allegations was not met, therefore the allegation is unsubstantiated. A copy of this report and Appeal Rights were provided to Director. Exit interview was conducted.

Investigation Findings:
13On May 21, 2025, at 2: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to David & Margaret Youth And Family Services for the purpose of concluding the above identified complaint investigation. LPA met with Tracy Thorne-Program Director and discussed complaint findings. The investigation consisted of the following: On July 18, 2024, LPA met with Tracy Thorne-Program Director and requested associated documentation for the THPP (see confidential 811 dated May 21, 2025). Documentation consisted of: Assigned SW case notes, certificate of complaince, assigned SW name and phone number, emails to request C1 be moved to another apartment, CFT information, email from the housing navigator and C1's telephone number UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: David & Margaret Youth and Family Servicesfacility Number: Visit Date: 05/21/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32...page Complainant was interviewed on July 23, C1 was interviewed on July 30, 2024. TSW was interviewed on May 16, 2025. Director interviewed on May 19, The investigation revealed the following: It was alleged that the placement was in disrepair and staff did not ensure that placement was free of pests. Review of documents showed that a youth moved into an apartment provided and maintained by the THPP on June 21, 2024. Shortly after moving into the apartment, youth noticed fleas in the apartment. Youth advised THPP about the fleas and requested carpet to be cleaned. In confidential interviews it was revealed that the youth sent a picture to the Transitional Social Worker showing fleas in the apartment and on the rug. TSW said that there were fleas in the picture received, however it was not determined if the fleas were dead or alive. LPA observed documentation that the THPP treated the apartment two (2) times before youth moved in. It was revealed that there were fleas and bugs on the carpet. TSW said the THPP treated the apartment for fleas and changed the carpet after youth complained. Youth could not stay at the apartment due to the fleas biting. Youth stayed at a relative's home, until the issue was resolved or relocated to a new apartment. In other interviews, the THPP was not made aware that the bathtub would not drain. LPA observed documentation showing THPP treated the apartment for pests prior to youth moving into the apartment. THPP made attempts to fix the issues brought to their attention. Pest control treatment occurred on May 7, 2024, and May 14, 2024. Apartment professionally cleaned on June 17, 2024. Youth moved into apartment on June 21, 2024. Pest control treatment on June 24, 2024, and June 26, 2024. Carpet washed June 27, 2024. THPP moved youth into a new apartment on July 11, 2024. SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 3 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DAVID & MARGARET YOUTH AND FAMILY SERVICESFACILITY NUMBER: VISIT DATE: 05/21/2025

met_with: Tracy Thorne-Program Director


facility_name: DAVID & MARGARET YOUTH AND FAMILY SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Raymond Wu and Gilbert Gutierrez conducted an unannounced inspection at the facility and met with Supervising Social Worker Wayne Wolcott. The purpose of the visit was to conduct an Annual Required inspection. David and Margaret's THP+FC office is located in Whitney Building inside the main campus. The facility is licensed to provide transitional housing placement plus foster care services to non-minor dependents. The agency's THP+FC program uses remote single housing units to place Non-Minor Dependent (NMD) participants. A tour of the office was conducted. LPAs observed the following: The THPP+FC facility has a lobby area with a table and two couches. The table has a computer which is for client use or intern use. Next to the lobby is a supply closet and a bathroom. There is an office for the supervising social worker with a desk, computer and telephone and also has two locking file cabinets which is used to store the client files. There are two social worker offices with computers and telephones. Each of these offices houses two social workers. There is an office for the therapist and a Session room which is used for one on one sessions with participants. There is an office for an Employment Coach with a desk, computer and filing cabinet. There is an office for the program support staff and the housing navigator. There is an office for the Program Manager with a desk, computer, telephone. The facility currently has 14 transitional housing placement participants ages 18-21 years. There is a total of seven (7) staff; two (2) of which are full time social workers. The agency is in compliance the social worker ratio. LPAs reviewed 7 staff files and 7 participant files. A review of the staff files indicated that all facility staff have received fingerprint and child abuse index check clearances. During today's visit, no violations of Title 22, Division 6 of the California Code of Regulations were observed. An exit interview was conducted and a signed copy of this form was emailed to the Licensee.

met_with: Supervising Social Worker Wayne Wolcott


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2024 at 9: A.M Licensing Program Analyst (LPA) Juliet Robles conducted a case management inspection to the above agency and met with Director, Marissa Scholefield. The purpose of the visit was to follow-up on an incident reported to the Department by the agency regarding the death of client reference #1 (C1) (see LIC Confidential Names List dated 04/30/24). According to the records, C1 was placed in the facility on August 01,2022. During today's visit, LPA obtained information from the Administrator, Transitional Social Worker Supervisor (TSWS), and two (2) Transitional Social Workers (TSW) with regards to the incident the incident. LPA also conducted a review of the records and obtained copy of pertinent documents. The incident still needs further follow-up. An exit interview was conducted and a copy of this report and LIC 811 was provided to the Director. There were no deficiencies cited at the time of this visit.

met_with: Marissa Scholefield


summary: Facility Evaluation

raw_content:
Narrative:
On May 03, 2024 at 9: AM, Licensing Program Analysts (LPAs) Juliet Robles and Gilbert Gutierrez conducted an unannounced annual/random inspection to the Transitional Housing Placement Program for Non Minor Dependents facility. LPAs met with Senior Director of Placement Programs, Marissa Scholefield. PHYSICAL PLANT The facility license is posted in a prominent location. All participant records are maintained in a secure area or locked file cabinets in the administrative office. The administrative office has telephone service on the premises. OPERATIONAL REQUIREMENTS The facility maintains a register of participants available upon request. The facility is currently operating within licensing regulations. DISASTER PREPAREDNESS The facility has an emergency and disaster plan for the THPP NMD participants. The emergency plan shall include emergency information, instructions, and telephone numbers, including a 24-hour emergency number for the licensee and the participant's responsible party. STAFF RECORDS There is a total of thirteen (13) staff; seven (7) of which are full time social workers and one (1) social worker supervisor. Staff records are available upon request. The agency is in compliance with the social worker ratio. Senior Director of placement program meets the education and experience requirements, completed the required training, file contains the Statement acknowledging requirement to report child abuse, fingerprint, and child abuse index check clearances and current with CPR and first aid. CLIENT RECORDS The facility currently has forty-six (46) transitional housing placement participants ages 18-21 years old. The facility ensured that the Transitional Independent Living Plan/Needs and Services Plan is signed by the NMD, the THPP Director or SW personnel and the agency responsible for placement. The facility ensured the participants record are maintained locked on site in the THPP office. LPAs reviewed five (5) personnel records, five (5) participant's record (refer to Confidential Names form LIC 811 dated 05/03/24) and interviewed one (1) staff. During today's visit, no violations of Title 22, Division 6 of the California Code of Regulations were observed. An exit interview was conducted and a signed copy of this report, LIC 9102 and LIC 811 was provided to the Senior Director.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/04/25, Licensing Program Analyst (LPA) Joe Martinez initiated a case management inspection at the Transitional Housing Placement Program (THPP) and met with the facility representative listed above. On August 20,2025, a staff member at a Transitional Housing Placement Program observed a potential safety concern during a routine visit to a youth's unit. The visit was ended early, and the incident was reported to program supervisors. The licensing agency received a formal incident report and initiated a review. The purpose of the review is to confirm that the facility followed safety and reporting requirements and to ensure continued protection of clients in care. During the inspection, the analyst reviewed one youth case file, one staff file, incident reports, and the needs and services plan. LPA Martinez also interviewed three staff members to gather their statements regarding the actions taken as part of the submitted incident report. Due to insufficient information obtained during the visit, further investigation is required to complete the review. At the conclusion of the inspection, no deficiencies were cited. LPA Martinez conducted an exit interview with the THPP Representative and provided a signed copy of the LIC 809 for their records.

met_with: James Greene


summary: Facility Evaluation

raw_content:
Narrative:
On 09/12/25, Licensing Program Analyst (LPA) Joe Martinez initiated a Case Management inspection at the Transitional Housing Placement Program (THPP) and met with the facility representative listed above. On 08/27/25, the Department received an incident report from the THPP. The THPP reported a safety concern observed during a routine visit to one of the program units. The facility reported the matter to relevant external contacts and conducted internal planning meetings to assess and respond to the situation. LPA Martinez interviewed with R1 and reviewed information shared with placement agencies and internal processes. LPA Martine also reviewed reports from stakeholders, including documentation related to needs and services planning and incident reporting procedures. At this time, further review is required to complete the inspection. No deficiencies were cited during the visit. An exit interview was held with R1, and a copy of the inspection report (LIC 809) was provided for the facility's records.

met_with: Marissa Sholefield


summary: Facility Evaluation

raw_content:
Narrative:
On 09/18/25, Licensing Program Analyst (LPA) Joe Martinez and Licensing Program Analyst (LPA) Gilbert Gutierrez initiated an Annual/Random inspection at the Transitional Housing Placement Program (THPP) and met with the facility representative listed above. The Transitional Housing Placement Program provides services to young adults who are non-minor dependents between the ages of 18 and 21. The program offers safe and stable housing through both remote site housing and a host family model. Participants receive case management, guidance, and supportive services designed to help them build independent living skills. The goal of the program is to prepare young adults for self-sufficiency as they transition from foster care into adulthood. During the inspection, LPA's conducted a review of four staff personnel files maintained at the Transitional Housing Placement Program and 4 staff interviews.. The records were made available for review at the facility site, and all files were stored securely in a locked location to ensure they were inaccessible to unauthorized individuals.All staff records reviewed during the visit contained documentation verifying required background clearances. The review confirmed that the files contained, but not limited to, documentation of medical assessments and training history. The records were organized and accessible to the LPA's for inspection in accordance with record-keeping requirements. The inspection also included a review of 4 youth records. The youth records were organized and made available for review at the facility. The files contained records related to each youth's placement, needs and service plans, and supportive services. Information such as health screenings, education records, and personal documents was maintained in the files, along with admission agreements and signed copies of program expectations. The review confirmed that records were kept up to date and files were stored in a manner that supported both accessibility for oversight and confidentiality for participants. During the visit, the Transitional Housing Placement Program's administrative office was observed. The office included private space available for conducting confidential interviews and discussions with participants and staff. Participant records were maintained in secure, locked storage to ensure confidentiality, and personnel files were organized and readily accessible for review by the licensing agency. The office was observed to have the current facility license posted in a clear and publicly accessible location. information regarding the licensing agency's contact details and complaint procedures was available. The administrative office was located within the required proximity, not exceeding two hours' travel time from participant living units. A current roster of all participants was available and maintained on site. In addition, personnel records, participant records, and related documents were stored in a manner consistent with licensing requirements, ensuring both accessibility for authorized staff and protection of sensitive information. There were no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was given to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/25/25, Licensing Program Analyst (LPA) Joe Martinez and Licensing Program Manager (LPM) Yan Yeung conducted a follow up Case Management inspection at the Transitional Housing Placement Program (THPP) and met with the facility representative listed above.During the inspection, LPM toured the office with the social worker supervisor, Bradley Garcia and discussed the operation of the program. The purpose of the inspection was to follow up on a Special Incident Report (SIR) the Department received on 08/27/25 regarding a gun observed by a Transitional Social Worker (TSW) inside a client's apartment unit on 08/20/25. The TSW left the apartment unit but the gun was with the client. It was not reported to the Department until 8/27/25. Despite the agency notified the Probation officer that day, there was no verification how to handle the firearms. The client was finally removed on 8/29/25 but the gun was never found on 8/29/25 by Probation officer. LPA Martinez reviewed the incident reports, client's records and met with the administrator to discuss the incident. According to the administrator, he had called the Pomona Police Office non-emergency line on 8/20/25 and was directed to notify the Probation Department, who was overseeing the youth's case. The part that the agency had contacted law enforcement was not documented in the initial incident report. The administrator explained that an emergency stabilization meeting was scheduled the day following the incident. Decision was made to discharge youth from the THP-NMD Program. The administrator reported that on 09/09/25, law enforcement conducted a walk-through of the apartment and confirmed that no firearm or ammunition was present. The administrator also shared that staff training was scheduled for 09/11/25 to review reporting requirements and reinforce program expectations with staff. LPA Martinez contacted law enforcement to request service logs and reports related to the matter. Law enforcement stated that there was no record that a facility staff contacted Pomona PD on 8/20/25 associated with the subjects identified at the unit. Despite the agency stated that they notified the Probation officer that day, there was no verification how to handle the firearms immediately that day to ensure the health and safety of the client. The client was finally removed on 8/29/25 but the gun was never found on 8/29/25 by Probation officer or later by law enforcement. LPA Martinez also contacted Probation Department and various law enforcement units in the area regarding response protocols in situations involving youth and firearms.LPA Martinez also toured two housing units for placed youth. The incident was discussed with management and it was concluded that licensee has the responsibility to ensure the regulation listed on ILS Buildings and Grounds (f) Firearms and other weapons shall be stored where inaccessible to a nonminor dependent. (1) Storage areas for firearms and other weapons shall be locked. (2) In lieu of locked storage of firearms, the licensee may use trigger locks or remove the firing pin. (A) Firing pins shall be stored and locked separately from firearms. (3) Ammunition shall be stored and locked separately from firearms. The licensee needs to communicate with Law enforcement immediately or Probation officer to ensure that firearms be removed at the earliest opportunity so that the facility can be in compliance to ensure the health and safety of the clients. It is a best practice to communicate with our Department Interim Licensing Standards - AB 12, Nonminor Dependents, THPP, Article 07. Physical Environment (f): Firearms and other weapons shall be stored where inaccessible to a nonminor dependent. (1) Storage areas for firearms and other weapons shall be locked. Advisory Guidance: The Department advisees the licensee that firearms and other weapons must be stored in a locked location that makes them fully inaccessible to nonminor dependents. Ammunition must also be secured separately from firearms. The licensee is advised to review program procedures and reinforce safety expectations with staff and participants. Best practices include routine checks of storage areas, clear written policies on contraband, and refresher training for staff to ensure compliance and to reduce any potential risk to the health and safety of clients in care. It is also a best practice for any support and assistance by calling our On Duty desk. A technical advisory was given to the agency. An exit interview was conducted and a copy of this LIC 809, LIC 859G and LIC 811 were given to agency representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/02/25, Licensing Program Analyst (LPA) Joe Martinez conducted Case Management inspection at the Transitional Housing Placement Program (THPP) and met with the facility representative listed above. The purpose of the inspection was to follow up on a Special Incident Report (SIR) on 09/25/25 regarding Client (C1) allegedly threatened Client 2 (C2) with an illegal firearm in their housing unit. Law enforcement responded, arrested C1, and recovered the weapon. The program immediately discharged C1 and changed apartment locks.The facility submitted the SIR on 09/25/25 and the Department received the SIR on 09/25/25. During the inspection LPA Martinez interviewed 1 staff and reviewed 2 client files.On 09/25/25, 09/26/25 the facility implemented measures in response to the incident to protect the safety and well-being of the clients. All apartment locks were changed to prevent access by the discharged participant, and the apartment manager was notified that the former client was not allowed on site. Facility staff contacted C2 to assess their mental health status and offer services. A safety plan was arranged for C2 to stay with a former caregiver over the weekend. The facility also established a new apartment location for C2. The facility provided C2 with after-hours social worker contact information for emergencies and sought documentation from law enforcement. Facility staff contacted the West Covina Police Department on 09/25 and 09/26 regarding the police report, and were informed the report was not yet available. A follow-up formal request for the report was scheduled to be submitted by email on 09/29/25. LPA Martinez requested the police report from West Covina Police department, but has yet to receive the report. Due to insufficient current information,further investigation is needed. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of this LIC809, LIC 859G and LIC 811 were given to agency representative.


summary: Facility Evaluation

raw_content:
Narrative:
On 10/15/25, Licensing Program Analyst (LPA) Joe Martinez conducted Case Management inspection at the Transitional Housing Placement Program (THPP) and met with the facility representative listed above. The purpose of the inspection was to follow up on a Special Incident Report (SIR) on 09/25/25 regarding Client (C1) allegedly threatened Client 2 (C2) with an illegal firearm in their housing unit. Law enforcement responded, arrested C1, and recovered the weapon. The program immediately discharged C1 and changed apartment locks.The facility submitted the SIR on 09/25/25 and the Department received the SIR on 09/25/25. During the inspection LPA Martinez interviewed 1 staff and 2 records.On 09/25/25, 09/26/25 the facility implemented measures in response to the incident to protect the safety and well-being of the clients. All apartment locks were changed to prevent access by the discharged participant, and the apartment manager was notified that the former client was not allowed on site. Facility staff contacted C2 to assess their mental health status and offer services. A safety plan was arranged for C2 to stay with a former caregiver over the weekend. The facility also established a new apartment location for C2. The facility developed a written policy outlining staff procedures to follow when weapons are found in a housing unit. This policy was distributed to all staff for review to ensure consistent understanding of reporting requirements and coordination with law enforcement. According to the police report, the weapon involved in the incident was located and safely removed from the housing unit. Based on the information reviewed, there are no further concerns or follow-up actions required. The facility's response addressed the immediate safety risks and established preventive measures to guide staff in handling similar situations in the future. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of this LIC809, LIC 859G LIC 811 were given to agency representative.


summary: Facility Evaluation

raw_content:
Narrative:
On September 10, 2025, at around 10:15 am, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted a case management inspection at the Transitional Housing Program (THP) facility and met Program Director, James Greene, and Administrator, Marissa Scholefield. The purpose of the inspection was to follow up a Special Incident Report (SIR) the Department received on 08/27/25 regarding a gun observed by a Transitional Social Worker (TSW) inside a client's apartment unit on 08/20/25. LPA conducted an interview with the Program Director and Administrator regarding the incident. LPA gathered the information that on 08/20/25, the TSW created and saved the incident report via PMIS I track but did not submit the report. Only when the Program Director found out that the incident was not submitted on 08/20/25, that the incident report was submitted on 08/27/25. Usually, the TSW reports the incident first to the TSW Supervisor for review, but the supervisor was on vacation. This incident needs further follow-up. 86261(a)(4) The licensee or THPP staff shall report to the licensing agency and the person or agency responsible for placing a nonminor dependent, such as a social worker or probation officer, when any of the following events occur... Any unusual incident that involves a nonminor dependent and threatens the physical or emotional health or safety of the nonminor dependent or anyone in the THPP 86261 (b) This report shall be made by telephone, e-mail, or fax within 24 hours after the event occurs or within the next business day. An exit interview was conducted and a copy of LIC 809, LIC 809D and LIC 811 were provided to the facility representative. A deficiency citation was issued at the time of the inspection.

met_with: James Greene, Marissa Scholefield


summary: Facility Evaluation

raw_content:
Narrative:
On 02/03/26,Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced case management inspection LPA Joe. Martinez met with James Greene, Transitional Housing Placement Program (THPP)Administrator. During the inspection, LPA Martinez observed a clean and organized office area with adequate lighting and temperature. LPA Martinez observed license information posted on the wall, and records were stored in a locked manner to limit access by unauthorized individuals. LPA Martinez reviewed one client record. Records included but not limited to guest practices, supervision arrangements, and THPP follow-up. Further follow-up is required due to insufficient information. LPA Martinez conducted an exit interview and provided the FFA representative with a signed copy of the LIC 809 and LIC 809G.


summary: Facility Evaluation

raw_content:
Narrative:
On 02/12/26,Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced case management inspection LPA Martinez met with Marissa Scholefield , Transitional Housing Placement Program (THPP) Director. LPA Martinez conducted a case management inspection to review an incident report submitted by the Transitional Housing Placement Program (THPP) program after the Department received information that a guest was present in a participant living unit while the participant was not at the remote site. LPA Martinez interviewed the Administrator and the Transitional Social Worker to gather information related to the case management review.LPA Martinez reviewed one (1) client record. Records reviewed confirmed that the client signed the program agreement outlining rules, rights, and responsibilities upon admission. Documentation reflected that the client received and acknowledged program policies, including visitor and guest expectations. Interviews with the Administrator and Transitional Social Worker indicated that the client is aware of the guest policy and that staff addressed the concern directly with the client. Staff reported that a meeting was arranged with stakeholders to review expectations and provide support. Interviews further indicated that the program maintains weekly contacts with the client and conducts home inspections twice per month as part of ongoing supervision and support. Continued collaboration with the client was described to ensure identified goals are addressed and progress is monitored. Documentation review revealed that a Needs and Services Plan is maintained in the client record and staff conducted weekly contacts with the client and in home inspections. Based on the inspection, no additional follow-up related to this incident is necessary. No deficiencies were observed at this time. LPA Martinez conducted an exit interview and provided the facility representative with a signed copy of the LIC 809.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/05/26, Licensing Program Analyst (LPA) Joe Martinez conducted an unannounced case management inspection at a Transitional Housing Placement Program (THPP). LPA Martinez met with James Greene, Administrator, to review program operations and discuss regulatory updates affecting THPP programs. During the inspection, LPA Martinez observed the facility was clean. LPA Martinez also observed that program files were stored and locked away from unauthorized use. Prior to the case management inspection, LPA Martinez completed a review of the THPP plan of operation. During the visit, the Administrator confirmed they had a copy of the updated Program Information Notice (PIN) 25-06-CRP available and reviewed the information related to recently adopted regulations governing Transitional Housing Placement Programs. LPA Martinez and the Administrator discussed the regulatory updates and the upcoming implementation of these regulations effective January 1, 2026. LPA Martinez interviewed James Greene, Administrator. The Administrator stated the THPP is aware of the regulatory changes and is currently in the process of updating the program's plan of operation. The Administrator stated the updated plan of operation will be provided to the Department for review once completed. No deficiencies were cited during this inspection. An exit interview was conducted with the Administrator, and a signed copy of the LIC 809 and LIC 809G was provided.


facility_name: DIVINITY PROPHET

raw_content:
Narrative:
LPA Rosas conducted interviews with staff, and pertinent parties regarding to allegations. On 02/09/2022, LPA Rosas conducted a facility inspection to the administrative office where facility denied the allegations. Persons interviewed stated, that living units had landlines but were removed as residents are given cell phones upon admissions to the program and residents prefer cell phones for communication. The facility reported, they facilitate residents obtaining low-income "Obama" cell phone services. Facility reported, they were charging fines for property damages to teach residents about taking care of personal property but stopped during COVID-19 pandemic. On 07/14/2022, Divinity Prophet organization, Los Angeles Department of Children and Family Services, and Community Care Licensing Division conducted office meeting with facility to discuss allegations and facility concerns. Facility reported, they are in the process of obtaining landline telephone lines for all remote sites (living units) and had remove charging fines for residents. On 10/13/2022, LPA Rosas conducted annual inspection and inspected four (4) remove sites located in Moorpark, CA. LPA Rosas, during the inspection of the 3 out 4 units did not have telephone services (landlines) in the living units. On 10/20/2022, LPA Rosas continued annual inspection and conducted resident file review and found receipt for property fine charge. LPA Rosas obtained copies of Divinity Prophet and Associates THP+FC Intake package that stated the following, Section- Maintenance and Repair Policy states that residents are responsible for any repairs that need to be performed when their occupancy is over such as broken windows, stained carpet, or restore damage furniture. Section- Policy for Care of Furnishings states that if found that participants have caused the damage to the furnishings, they may be fined. In addition, Utilities and Telephone Policy section, states that all residents will have access to landline telephone services to make and receive confidential telephone calls. On 02/09/2023, LPA Rosas received a copy of Verizon monthly telephone statement. The monthly statement showed remote sites (living units) phone numbers listed as active. Based on information gathered from interviews, record review, field inspections, office visit and remote site inspection conducted on 10/13/2022, the allegation is substantiated, which poses a potential Health, Safety or Personal Rights risk to residents in care. Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. The Department has concluded, based on the preponderance of the evidence obtained during this investigation, that the allegation of Admission Agreement, and Personal Rights are substantiated. Report continues on LIC9099C page 2 out of During the inspection investigation the LPA observed deficiencies (see attached 809D), plan of corrections was discussed, and appeal rights were provided. Exit interview was conducted with S1 and a copy of this report and appeal rights was left at the facility. Page 3 out of 3

Investigation Findings:
13On March 23, 2023, at 12:30pm, Licensing Program Analyst (LPA) Olivia Rosas conducted an unannounced inspection to Divinity Prophet Transitional Housing Placement plus Foster Care (THP + FC) for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA Rosas, met with Staff#1 (S1) and together discussed the investigation details. During the investigation process, LPA Rosas interviewed witnesses and pertinent parties related to the investigation. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated 03/23/2023. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, LPA Rosas concluded the allegation of staff are improperly fining clients' while in care, staff are interfering with clients' personal funds and staff are not providing clients access to utilities the alleged violations occurred; therefore, the findings are substantiated. Report continues LIC-9099C page 1 out of SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIVINITY PROPHETFACILITY NUMBER: VISIT DATE: 03/23/2023

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

met_with: Staff#1 (S1)


summary: Facility Evaluation

raw_content:
Narrative:
On 10/14/20 at 10:00am Licensing Program Analyst Enrique Hernandez made an unannounced Case Management Relocation inspection tele inspection to the Divinity Prophet Transitional Housing Placement plus Foster Care (THP + FC) Administrative Office. During the the tele inspection, LPA met with Staff #1 (S1) via Microsoft teams to the Administrative Office located at located at E. Thousand Oaks Blvd, #268, Thousand Oaks, CA 91362 and together via Microsoft teams LPA toured the office and the patio area. The office is located on the second floor of a business office building and is set up as follows: Administration office is a three room office with an Administrator's office with a desk and file cabinets for staff files and client files. There is a door from the Administrators office that leads to a balcony. The main office space consists of three desks for supervising social workers. There are three desks and chairs and a small side table with informational packets for clients. In the building, there are two conference rooms that licensee states are available to conduct private interviews. Staff and client records are maintained in the Administrative Office inside locked cabinets. All posting requirements were met. The facility is licensed to provide Transitional Housing Placement plus Foster Care (THP + FC) and Non-Minor Dependents (NMD) to 60 participants ages eighteen (18) through twenty-one (21). There are currently fifteen (30) participants in placement at different remote sites in the Ventura County (sites are located in Oxnard, Moorpark and Ventura). The facility is currently operating within staff ratio. The report continues on LIC809-C A review of Facility's Personnel Report Summary on 10/14/2020, indicates that all staff required to have criminal record clearance has obtain the necessary clearances with DOJ, FBI, and Child Abuse Response. Per California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulation and Transitional Housing Placement Program (THPP) there were no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report will be emailed to the Facility Administrator, in order to obtain a signature. Signature will be on file.

met_with: Staff #1