summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Daniel Mena conducted a technical assistance meeting virtually via Teams with Downs and Martin Short Term Residential Therapeutic Program (STRTP) Executive Director, Emmett Downs. Present at the meeting was System of Care Branch Analyst, Ansar Mohammed, STRTP Consultant, Daniel Thorne and System of Care Branch Supervisor, Marjana Jackson. The Purpose of the meeting was to discuss and review the following pending Plan of Operation (POO) and Program Statement (PS) revisions: Plan of Operation Section A, Purpose and Goals- Meet Standards · Typos/spacing "pg8" Section D, Staff Plan- Almost there 12 1. Peer partners/volunteers are then required to take an additional 16 hours of training (within 90 days) which include need additional review • An overview of the child welfare and probation systems. • Permanence, well-being, and educational needs of children; • (C) Overview of the population served by the short-term residential therapeutic program; • (D) Physical and psychosocial needs of children, including behavior management, de-escalation techniques, and trauma-informed crisis management planning, including the use of emergency interventions; • (E) The effects of trauma, including grief and loss, and child abuse and neglect on child development and behavior and methods to behaviorally support children impacted by that trauma or child abuse and neglect; • (F) Awareness and identification of commercial sexual exploitation and best practices for providing care and supervision to commercially sexually exploited children.;.. *.* On page 88, the training table for Volunteers. Please demonstrate the ( 16 hr) trainings that is required before working with children and demonstrate which courses make up the additional (16 hr) of training that is required after the inital, but within 90 days. Recommend adding a note in the table that demonstrates "initial 16 hours-prior to working with youth" and "16hr-within 90 days" (which are the courses above) Program Statement Section 17, House Rules for Children/Nonminor Dependents · The following contracts/house rules seem to have been removed from the last revision. are these rules no longer applicable (DMCS general rules, electronic contract, cell phone contract, chore)?. If the rules/contracts still apply, please attach copies in this section: - Contracts has been removed from program statement. If any of those policies/contracts will be used in the facility ,please submit a copy. If not then meets standards 24. Emergency Intervention Plan (Runaway Plan)- Meets Standards-see additional comment below 1. Intervention plan procedure if multiple children AWOLing? Meets standards, but recommend calling additional staff to also aid in the care and supervision of the children. A copy of this report was provided. Executive Director, Emmett Downs stated that corrections would be submitted for review to Licensing Office by June 14, 2024. Corrections made will be highlighted.


state: CA

facility_name: DOWNS & MARTIN CHILDREN'S SERVICES

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, Daniel Mena conducted a technical assistance meeting virtually via Teams with Downs and Martin Short Term Residential Therapeutic Program (STRTP) Executive Director, Emmett Downs. Present at the meeting was System of Care Branch Analyst, Ansar Mohammed, as well as STRTP Consultant, Daniel Thorne. The Purpose of the meeting was to discuss and make final revisions to Plan of Operation (POO) Section D and Program Statement (PS) Section 17. Revisions to these sections were made during the technical assistance meeting. No further revisions to the POO & PS are required at this time.

report_type: Facility Evaluation

met_with: Emmett Downs


summary: Facility Evaluation

raw_content:
Narrative:
On October 11, 2025, at 9: AM Licensing Program Analyst (LPA) Daniel Mena conducted a pre licensing inspection of the facility. At time of inspection LPA met with applicant Emmett Downs. The facility was toured inside and out with Applicant, Emmett Downs and Facility Managers, Victoria Valadez and Devin Downs. The home is a one-story four bedroom home with three bathrooms. Facility has a detached therapy office, which includes a storage room, small kitchen and one bathroom. Bedroom # 1 is furnished with two twin beds and sleeps two clients. Bedroom # 2 is furnished with two twin beds and sleeps two clients. Bedroom # 3 is furnished with two twin beds and sleeps two clients. Bedroom # 4 is designated as a staff office and includes one bathroom which is designated for staff. Bedrooms are arranged so that no more than two clients are in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. Hot water in bathroom number one measured to be around 112.0 degrees, and bathroom number two will be also be accessible to clients. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications will be stored in a locked cabinet in the staff office. Cleansers/chemicals and sharp knives are stored and locked also in staff office. () The is currently no First Aid Kit on the premises. The facility's smoke detectors and carbon monoxide detectors were checked and were operable. There are no guns/weapons in the facility. The following required posted items will be made accessible to clients: Grievance Procedures, Personal Rights, and Visitation policies. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There are no pools or other body of water on grounds. Applicant will provide photo as proof that a first aid kit has been purchased for the facility by Monday, October 14th. The applicant completed Component III on October 9, 2024. The request of License will be forwarded to Licensing Program Manager for final approval. Exit interview conducted and a copy of this report was discussed and provided to Applicant, Emmett Downs on this date.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On 08/01/2025 at 9:48 am, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced visit at Downs and Martins (Short Term Residential Therapeutic Program (STRTP) to conduct an unannounced annual required inspection. LPA Lucas met with Facility Manager, Devin Downs and completed a walkthrough of the facility. LPA began a physical plant inspection at 9:51 am assisted by the Facility Manager, Devin Downs. During the physical plant inspection, LPA observed a formal entry with a closet that consisted of board games, and backpacks for client outings. The living room consisted of two sofas, the dining room consisted of a formal table with six chairs and one sofa. The kitchen includes a refrigerator/freezer, food storage areas. There is an adequate supply of perishable and non-perishable foods, and the food menu is posted. All sharps are kept in a lock box located in the staff office. There are three client bedrooms, all bedrooms have individual beds, there are two clients per bedroom, with appropriate linens, pillows, comforters, and mattresses in good repair. There is dresser drawer space for each client's clothing. There is one youth restroom and an extra restroom for emergencies. Both restroom sinks read above 105 degrees Fahrenheit. In the dining room LPA observed postings of Grievance Procedures, Visitation Policies, and Clients Bill of Rights posted on the wall in English and Spanish. There is a staff office that is kept locked. The staff office consists of a staff restroom, three desks with three computers and one printer. There is a closet used to keep staff and client files and client medicine that is locked in a medicine cabinet. LPA observed a CARF Certificate, CPR and First Aid, Community Care Licensing postings, and emergency evacuation facility sketch posting. The first aid kit is also kept in staff office. The First Aid Kit consists of bandages, tweezers and scissors. Continued on LIC 809C The facility grounds are clean and free of debris and observable hazards. All cleaning supplies are locked in the staff office. There is a detached mental health office used for therapist and the rehabilitation specialist. The office has two desks and two computers, and a restroom. There is also a kitchen for cooking activities for the clients. The office has extra refrigerator and freezer where client food is stored. All facility smoke detectors and carbon monoxide detectors are in appropriate working order and located throughout the facility. Fire extinguishers are properly charged and serviced and located in staff office and kitchen. The facility has one vehicle to transport clients to appointments and recreational activities. The vehicle is maintained in a safe operating condition. LPA reviewed five client's records, and five personnel records. LPA interviewed three staff members and three clients. Based on the annual required inspection on this date, there were no deficiencies found. An exit interview was conducted with the Facility Manager, Devin Downs and a copy of this report was given to the Facility Manager. Exit interview conducted. A copy of this report was provided to the Facility Manager, Devin Downs.

visit_type: Annual

met_with: Devin Downs Facility Manager


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
These interviews also confirmed that C2 denied the allegation and did not witness staff hitting the youth. Regarding the allegation that staff spoke inappropriately to the youth (C5), confidential interviews stated that staff have never spoken disrespectfully or used disrespectful language toward the youth. Confidential interviews stated that C2 denied the allegation and had never heard staff speak inappropriately to youth. The Department also received an allegation that staff did not ensure that food was provided in the required quantity. Confidential interviews stated that staff do not provide enough food for the youth (C2). Confidential interviews stated that C2 denied the allegation. Confidential interviews indicated that sufficient food is provided for the youth. During the investigation, LPA obtained photos showing two days' worth of perishable food and seven days' worth of non-perishable food to supply the necessary quantities. The Department also received an allegation that staff did not ensure adequate storage space was provided to accommodate the youth's personal belongings. Confidential interviews indicated that C4 accumulated a large amount of personal property from a previous placement where C2 had lived for a long time. Per facility documentation, C4 has more personal property than the facility's storage capacity can accommodate. Confidential interviews stated that the staff accommodates C4 by providing extra storage space for their personal belongings. Confidential interviews stated that there is enough storage for the youth's belongings. The Department also received an allegation that staff did not ensure access to the internet was provided to youth. Confidential interviews stated that all youth have access to the internet. Confidential interviews stated that youth can always access the internet. Confidential interviews disclosed that there are set times to play video games; therefore, the internet is turned off until after chores are completed. Confidential interviews indicated that C2 can complete their homework by accessing the internet. Based on confidential interviews, the allegations that staff hit youth, staff spoke inappropriately to youths, staff did not ensure food was provided in the quantity necessary, staff did not ensure adequate storage space was provided to accommodate youth's personal belongings, and staff did not ensure access to the internet was provided to youth are unfounded. The allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to Facility Manager, Devon Downs.

Investigation Findings:
13On December 9, 2025, at 2:50 pm, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced visit and met with Downs and Martin Children Services II Facility Manager Devon Downs to deliver the findings for the above-stated allegations on the Short-Term Residential Therapeutic Program (STRTP). Licensing Program Analyst (LPA) Julian Lucas conducted an inspection on July, 11 2025, and observed no immediate health and safety hazards. LPA reviewed the STRTP file and records of six clients (C1, C2, C3, C4, C5, and C6). During the investigation, interviews were conducted with clients (C1, C2, C3, C4, C5, and C6), the Facility Manager, Assistant Facility Manager, Therapist, and Residential Counselors (RC1 and RC2). The Department received a complaint on June 24, 2025, alleging that staff hit the youth and spoke inappropriately to the youth (C5). Confidential interviews revealed that staff have never hit the youth (C5). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Julian Lucas 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: DOWNS & MARTIN CHILDREN'S SERVICES IIFACILITY NUMBER: VISIT DATE: 12/09/2025

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

report_type: Complaint Investigation

met_with: Devon Downs, Facility Manager

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Joon Choi on 04/08/2026 at 09: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Choi met with Assistant Facility Manager Brenda Guzman and Facility Manager Devin Downs. LPA reviewed 3 child's records and 3 of staff personnel files on site at the facility. LPA reviewed 3 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed will attempt interviews with 2 clients at a later date and/or time. (no clients were present at the time of this visit) LPA Choi conducted an exit interview with Facility Manager Devin Downs, and provided a copy of this licensing report (LIC 809), one Technical Violation (LIC 9102) three Technical Assistance Advisories (LIC 9102) and appeals rights. No deficiencies are being cited at this time.

visit_type: Case Management

met_with: Devin Downs, Facility Manager


raw_content:
Narrative:
Confidential interviews stated that S1 never slapped C1. LPA was unable to determine if the allegation occurred. The Department also received a complaint that the staff handled the child roughly, causing injury. Confidential interviews revealed that S1 redirected C1's assaultive behavior. Confidential interviews revealed that C1 began to bang their head on a wall outside of the facility, causing injury. Confidential interviews revealed that S3 continued to calm C1 down. Confidential interviews revealed that the mobile crisis unit was notified. Confidential interviews revealed that C1 was offered medical care and denied being seen. Based on confidential interviews, the allegations that staff slapped a minor and that the staff handled the child roughly, causing injury, are unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report was provided to Assistant Facility Manager Brenda Guzman.

Investigation Findings:
13On 05/04/2026, at 2:20 pm Licensing Program Analyst (LPA) Julian Lucas arrived at Downs and Martin Short Term Residential Treatment Program (STRTP) and met with Assistant Facility Manager Brenda Guzman to deliver findings for the above-stated allegations on Downs and Martin (STRTP), as listed on the Confidential Names List, LIC 811 dated 02/11/2026. LPA reviewed the staff files and records of one client (C1). During the investigation, interviews were conducted with clients (C1, C2, C3, and C4) and staff (S1, S2, and S3). The Department received a complaint on February 04, 2026, that a staff member slapped a minor. Confidential interviews stated that staff addressed C1 for laughing at their peer. Confidential interviews indicated that C1 began using inappropriate words toward S1. Confidential interviews revealed that C1 began kicking, hitting, and spitting on S1. Confidential interviews revealed that S2 was able to calm C1 down during the trauma-informed intervention; C1 began to apologize for kicking and hitting S1. Contiuned on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Julian Lucas 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 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: DOWNS & MARTIN CHILDREN'S SERVICES IIFACILITY NUMBER: VISIT DATE: 05/04/2026

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

met_with: Brenda Guzman Assistant Facility Manager


facility_name: DOWNS & MARTIN CHILDREN SERVICES

raw_content:
Narrative:
The facility staff indicated clients are supervised at all time. Staff will attempt to counsel and redirect clients when clients are talking about drug use. The facility staff indicated no clients have had sexual relations at the facility. The confidential interviews conducted did not collaborate the allegations. The placement agency social workers indicated having no concerns with the facility. There was no corroborating information obtained through interviews nor review of records to confirm the allegations. Based on the interviews and records reviewed the allegations is/are found unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

Investigation Findings:
13On July 21, 2021 at 12: PM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with Facility Administrator Emmett Downs. During the course of the investigation, LPA Cabral interviewed three facility staff, three clients and attempted to interview one client on 3/17/21(see Confidential Names Form LIC 811 dated July 21, 2021). LPA interviewed one county social worker and attempted to interview three county social workers on 7/13/21. LPA interview one county social worker on 7/20/21. LPA reviewed other agencies investigative narrative, delivered service logs and the facility's incident reports on 7/20/21. The facility staff denied the allegations that a client was sexually abused by another client and that facility staff did not adequately supervise clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Larry Cabral 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 07/21/2021

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

met_with: Emmett Downs, Administrator


raw_content:
Narrative:
Continue from page 1 . . . . The staff denied the allegations and stated that clients obtained alcohol and marijauna when they AWOL from the facility. The staff stated that the clients conduct a self search when coming back to the facility from AWOL. The staff indicated that the staff confiscates and disposes of contraband when found in the facility. The staff stated that the staff have not choked a client when conducting a restraint and that the alleged victim was not put on a restraint. The confidential interviews stated that the staff does not provide the clients with alcohol or drugs. The confidential interviews indicated that alcohol or drugs were obtained during the client's AWOL. The confidential interviews indicated that clients would sneak contraband by hiding it or sneaking in without the staff knowledge. The confidential interviews indicated that the alleged victim was not put on a restraint hold or the client was not choked by a staff. There was no corroborating information obtained through interviews and review of records to confirm the allegations. Based on the interviews and records reviewed the allegation are found unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited. An exit interview was conducted, and a signed copy of this report was left with above staff.

Investigation Findings:
13On August 09, 2021 at 10: AM, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Victoria Valadez, Leadership team. The purpose of the inspection was to deliver the finding for the above complaint allegations. During the course of the investigation, LPA interviewed three clients and one staff on 3/16/21, LPA interviewed three staff via telephone on 07/27/21, LPA interviewed one client via telephone on 08/02/21 and LPA interviewed County Social Worker (CSW) via telephone on 08/05/21 (see Confidential Names Form LIC 811 dated August 09, 2021). LPA obtained and reviewed client's incident report and other agency's investigative service logs. It was alleged that Staff restrained minor, Marijuana is accessible to minor and Minor has access to alcohol. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto Perez 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 08/09/2021

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

met_with: Victoria Valadez, Leadership team


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
On 07/25/2021, the Department received a complaint alleging that a client is being hit by another resident in care while under the care and supervision of staff workers. The focused client (FC) who was identified in the referral provided inconsistent information. The focused client (FC) denied the allegation and stated that the conversation he had with an individual identified as other was not accurate information and stated "it's not really like that". The focused client admitted that he reported that he was being hit by another peer and that the staff present was not responding accordingly, however, the FC said it was not true. The FC stated that staff working is always present and is quick to intervene when clients are out of line. The FC identified another client that was bothering him by being hit and stated that it was not true. The focused client (FC) admitted that he likes to horseplay with others and stated that everything is fine and that he feels safe living at the facility. Staff workers who were interviewed denied the allegation that they are allowing a client to bother or harass another resident (peers). Staff workers were in agreement that the focused client (FC) is the one who is actually horse-playing around with other clients. Five of the six clients provided consistent information in confidential interviews and denied the allegation. One client who was identified as hitting the focused client categorically denied the allegation and stated "it's the other way around". All clients reported that staff at the facility are always present and had no concerns or complaints overall about the operations at the facility. The individual identified as other who reportedly had direct information about the allegation could not be contacted after several attempts to speak with other by telephone went unanswered. Statements obtained could not corroborate the allegation reported for neglect/lack of supervision by staff working at the facility. Therefore, the above allegation is determined unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred. An exit interview was conducted and a copy of this report was provided to the facility representative for review and signature. No deficiencies were cited at this time.

Investigation Findings:
13On 07/25/2022 at 08: AM, Licensing Program Analyst (LPA) Joseph Vargas conducted a follow-up inspection for the purpose of providing findings for the above complaint. LPA met with Facility Manager Ms. Valadez. During the course of the investigation, LPA conducted in-person visits, and telephone interviews with four staff workers, six clients on 03/17/2022, that includes one individual identified as other on 7/21/2022 (reference confidential names list LIC811 dated 07/25/2022). During the inspection LPA requested for review and obtained copy of the staff and client facility roster reports, special incident reports, clients Needs and Service Plan and placement history, including a review of the county report associated to this complaint investigation. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joseph Vargas 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 07/25/2022

met_with: Ms. Victoria Valadez, Facility Manager


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
Page The Department received a complaint alleging a youth in placement was sexually assaulted when he was thirteen years old. However, it was unknown if the assault occurred at, or away from the facility. Based on statements obtained from confidential interviews conducted by the Department, LEA and placing agency, the alleged incident occurred in 2021 when Ref. #1 (See Confidential Names list LIC811 dated 10/16/23) accompanied his brother to visit a friend's home. During the visit Ref. #1 met a female who he reportedly had an intimate relationship with and who inappropriately touched him twice. Ref. #1 was unable to identify the female and unwilling to provide further information regarding the inappropriate contact. Based on information gathered from interviews conducted and records review, the allegations is Unsubstantiated. Although the allegation may have happened or is valid, the standard of the preponderance of evidence was not met. A copy of this report and Confidential Names list LIC811 dated 10/16/23 were given to the above-mentioned facility representative. No deficiencies were cited. Exit interview conducted.

Investigation Findings:
An unannounced follow up complaint inspection was conducted by Licensing Program Analyst (LPA) Christopher Larios on 10/16/23 at 10: AM. During the inspection LPA Larios met with Facility Manager Victoria Valadez and delivered findings regarding the above mentioned complaint allegation. The investigation was conducted by Community Care Licensing Division (CCLD) Investigations Branch (IB) State Investigator (SI) Olivia Spindola and LPA Larios. During the course of the investigation LPA Larios conducted a record review on 8/2/23 and obtained copies of special incidents report, needs and services plans, child family team meeting notes and staff and client rosters. On 8/17/23, SI Spindola conducted interviews with two clients and one staff member. Between 10/9/23 and 10/11/23, LPA Larios conducted interviews with four social workers and two clients. On 10/13/23, LPA Larios obtained a copy of a Law Enforcement Agency (LEA) report regarding the allegation. On 10/15/23, LPA Larios reviewed interviews conducted by the placing agency's investigator. (Continued on page 2) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Christopher Larios 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 CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 10/16/2023

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0

met_with: Victoria Valadez


raw_content:
Narrative:
On April 23, 2024, the Department received a complaint alleging that STRTP staff did not ensure that minor had appropriate fitting shoes resulting in injury. It was also alleged that the STRTP staff did not report missing client. Based on review of the client's clothing inventory and statements obtained during interviews, client had several pair of well fitting shoes as well as the boots he was wearing the day of 04/22/24, which belonged to him and fit him well when purchased. Client enjoyed wearing his boots and never informed facility that they did not fit him. Client chose to wear that pair of boots when he left the home without authorization. Same interviews revealed that as client had been consistently leaving the facility in unauthorized fashion upon return, the local Police Department had been leaving an earlier law enforcement report as an open report, therefore, filing another missing person's report is unnecessary at times. Confidential statements obtained during the investigation were unable to corroborate the allegations, revealing inconsistencies. Social worker interviewed by LPA had no concerns regarding the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Vickie Valadez, Office Manager. Appeal rights provided.

Investigation Findings:
13On Monday, July 22, 2024 at 10:30 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up complaint inspection at Downs & Martin Children Services, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings concerning the above allegations. LPA met with Vickie Valadez, Facility Manager. During the course of this inspection LPA reviewed, the STRTP's complaint history and interviewed by phone 2 adults on April 29, 2024. On May 1, 2024, LPA interviewed 5 clients at the STRTP and interviewed 4 adults at a collateral location. On May 9, 2024, LPA interviewed focused client (C1) (See LIC Confidential Names list dated 05/10/24) at a collateral location. On July 18, 2024, LPA interviewed two facility staff via telephone. On July 18, 2024, LPA reviewed documents provided by the STRTP including but not limited to register of clients, LIC Facility Personnel list, C1's clothing receipts, allowance logs, clothing logs, C1's Needs and Services Plan (NSP), and C1's Child and Family Team (CFT) meeeting notes. LPA also reviewed Department databases and reports from other agencies. (Continued...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla 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 LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 07/22/2024

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

met_with: Vickie Valadez, Facility Manager


raw_content:
Narrative:
On July 23, 2025, the Department received a complaint report alleging that a staff member put hands on a client, who retaliated, resulting in the staff restraining the minor on the ground. It was alleged that staff do not allow the minor to go outside. It was alleged that staff locks the minor in their room. Lastly, it was alleged that staff do not treat minor with respect, treating the minor like an adult, provoking the minor to act out. Staff denied the allegations that a staff member restrained the minor, stating the minor attacked the staff member and pushed them to the ground. Staff denied locking the minor in their room, stating that facility bedrooms do not have locks on the doors, and that the only phone the facility had taken from the minor was not the client's phone, it belonged to the owner of the stolen vehicle and so it was given to law enforcement. Staff denied that the client was not allowed to go outdoors, stating that the client frequently AWOL'd, and that they know they cannot physically stop a minor from leaving. Staff denied not providing the minor with respect. Social workers interviewed had no concerns. Confidential interviews conducted by LPA revealed contradicting statements regarding the allegations. 5 clients were interviewed during the investigation, 1 of the 5 clients exercised their right to decline the interview. 2 of the remaining 4 clients denied all allegations. 3 of 4 clients denied any restraints took place. 1 of 4 clients stated witnessing a proper restraint. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are determined to be Unsubstantiated. No deficiencies were cited at this time. Exit interview conducted. A signed copy of this report, LIC9099-C, and LIC811 were provided to Vickie Valadez, Administrator. Appeal rights provided.

Investigation Findings:
13On Wednesday October 22, 2025 at 11:45 a.m., Licensing Program Analyst (LPA) John Bonilla conducted an unannounced follow-up complaint inspection at Downs & Martin Children Services, a Short-Term Residential Therapeutic Program (STRTP), for the purpose of delivering findings concerning the above allegations. LPA met with Vickie Valadez, Facility Manager. During the course of this inspection LPA reviewed the STRTP's complaint history and interviewed by phone 2 adults on July 28, 2025. On July 29, 2025, LPA interviewed 2 professional contacts. On July 30, 2025, LPA interviewed 5 clients and 4 staff. On October 20, 2025, LPA interviewed 1 staff. On October 22, 2025, LPA interviewed 1 staff. LPA reviewed documents provided by the STRTP including but not limited to LIC9020 register of clients, LIC Facility Personnel list, Needs and Services Plan (NSP) for client 1 (C1)(See LIC Confidential Names list dated 07/30/25), restraint training certificate for a staff (S2), relevant Special Incident Reports (SIRs) and photos of S2. LPA also reviewed Department databases and reports from other agencies. (Continued...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: John Bonilla 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 LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNS & MARTIN CHILDREN SERVICESFACILITY NUMBER: VISIT DATE: 10/22/2025

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

met_with: Vickie Valadez, Administrator


summary: Facility Evaluation

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Narrative:
On January 4, 2024, at 9: AM, Licensing Program Analysts (LPAs) Timika Martin and Angelina Garibaldo conducted an unannounced annual/required inspection to the facility. LPA's met with Emmett Downs Administrator and Victoria Valadez Facility manager, who gave the tour of the facility. There are six (6) clients placed in the facility currently. Physical Plant The facility is a one-story building. The facility consists of a living and dining area, a kitchen, three bedrooms, two bathrooms, and two staff offices. One bathroom is located inside the staff's office and designated for staff. The bedrooms are set up so there are two residents in a bedroom and one resident per bed. There is adequate drawer space for residents' belongings. The resident's bathroom was observed to be clean. LPA's checked water temperature in the resident's bathroom and thermometer read 105 degrees Fahrenheit. The following was observed at the time of the inspection. The posted license, Emergency Disaster Plan, Foster Care Ombudsman's information and Youth's Personal Rights, Complaint and Grievance Procedure, and Mental Health Program Approval. The fire alarm was tested and working. Cleaning solutions and hazardous items observed to be stored in a locked cabinet in the hallway. Sharp knives were observed to be inaccessible and stored in a locked box in one of the staff's offices. Medications are stored in a locked cabinet inside of one of the staff's offices. The facility's smoke and carbon monoxide detectors were checked and were operable. There are no guns or weapons in the facility as stated by the Administrator. Children's Personal Rights form is also posted, accessible to residents. LPAs observed a minimum 7-day non-perishable and a 2-day perishable supply of food and snacks available to the residents. The exterior of the facility was also inspected and observed to be clean, and the landscape well maintained. Emergency exits were free from obstruction. There is no swimming pool or other body of water located on the facility grounds. LPA obtained and reviewed the following updated documentation: ·LIC Personnel and client roster Biannual Reports for the use of Emergency Interventions MHPA Certificate- renewal visit was conducted on 12/21-12/22/23. Anticipated to receive approval by: 01/12/24 and will email LPA copy of certificate. CARF Accreditation LIC 610C and mass casualty and disaster plan Annual compliance Review consisted of the following (7) domains: physical plant, operations, disaster preparedness plan, emergency intervention, staffing, core-therapeutic services, and client files. Staff and Clients were interviewed. A signed copy of this report, LIC Confidential Names list dated 01/04/24, and Technical advisory and 1 civil penalty was provided to the Administrator for review. No further inspection required.

met_with: Victoria Valadez- Facility Manager


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Juliet Robles, and Pamela Silva on 11/05/24 at 9: AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Emmett Downs, Administrator and Victoria Valadez, Facility Manager and toured the facility inside and out. LPAs reviewed two (2) of child's record and three (3) of staff personnel files on site at the facility. LPAs reviewed two (2) of child's psychotropic medications and medication records. LPAs interviewed two (2) staffs on site to discuss the facility's policies and procedures of operation. LPAs were unable to interview (0) child currently prescribed psychotropic medication due to the child being unavailable. LPAs will attempt to conduct an interview at a later time. No deficiencies are being cited at this time. LPAs conducted exit interview and provided a copy of this report to the Administrator.


summary: Facility Evaluation

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Narrative:
An unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Claudia Portillo on April 28, 2026, at 1:00 pm. During the inspection LPA Portillo met with the Administrator . The purpose of the inspection was to interview one client.. A copy of this report was issued to the representative above.

met_with: Victoria Valadez, Administrator


facility_name: DREAM HOME CARE INC. V

summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On May 18, 2021, at 1PM Bernice Karnsrithong, Licensing Program Analyst (LPA) arrived at the facility to deliver findings for the above complaint allegations. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Lisa Seibel, Administrator. During the investigation of the allegations, staff member verbally abused minor in care and staff member had a physical altercation with minor in care, LPA conducted confidential interviews and reviewed documentary evidences. Statements were consistent and documentary evidences indicated that staff did not comply with the facility's crisis intervention and client's safety plan and engaged in a verbal and physical altercation with a minor while in care. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 80072(a)(3) Personal Rights. Staff engaged in a verbal and physical altercation with a minor while in care. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: 198207746

met_with: Lisa Seibel, Administrator

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13On May 18, 2021, at 1PM Bernice Karnsrithong, Licensing Program Analyst (LPA) arrived at the facility to deliver findings for the above complaint allegations. Health and safety risk assessment were conducted upon arriving at the facility. LPA Karnsrithong met with Lisa Seibel, Administrator. During the complaint investigation that the facility does not provide a safe and comfortable environment for minor in care, LPA conducted confidential interviews and reviewed documentary evidences. Statements were inconsistent and did not produce corroborating evidence that indicated that the facility does not provide a safe and comfortable environment for minor in care. Due to lack of evidence obtained during the investigation, LPA determines that the allegation are unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Exit interview was conducted with administrator and copy of this report will be provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Lisa Seibeil, Administrator


raw_content:
Investigation Findings:
13On 06/23/2022 at 3pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of delivering findings for the above complaint. Health and safety risk assessment was conducted upon arriving at the facility. LPA Karnsrithong met with Lisa Seibel, Administrator who granted access at the facility. During the investigation of allegations, staff are not able to meet minor's needs, staff speaks inappropriately to minors in care and facility vehicles are not maintained; LPA Karnsrithong conducted confidential interviews, reviewed documentary evidences, and conducted on-site inspections. LPA reviewed the following: Needs and Service Plan, Medical Examination Form, Behavioral Plan and Repair/Maintenance Receipts. During the investigation, statements were inconsistent and did not produce corroborating evidence to support that staff are not able to meet minor's needs, staff speaks inappropriately to minors in care and facility vehicles are not maintained. Due to lack of evidence obtained during the investigation, LPA determines that the allegations are unsubstantiated at this time meaning, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. Exit interview conducted with Lisa Seibel and report will be provided. There were no deficiencies cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Bernice Karnsrithong LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

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


raw_content:
Narrative:
It was reported to LPA if medication is refused incident reports are submitted and documentation is noted in facility records. It was reported to LPA that haircuts are done every two weeks. LPA observed haircut schedule and receipts for hair cuts. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the allegations listed above. LPA was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that violations occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Exit interview was conducted and document will provided to DeAndra Wilson/Facility Manager

Investigation Findings:
13On October 11, 2023 at 8: AM, Licensing Program Analyst (LPA), Zena Phillips made an unannounced visit to Dream Home Care Inc. V for the purpose of delivering findings on complaint allegations listed above. During the investigation LPA Phillips interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the documentary evidence, interviews, and statements obtained during the investigation process, the allegations are unsubstantiated. Staff denied the allegations listed above and reported that staff would not threathen minors in care and did not bring firearm to facility. It was reported to LPA that there is plenty of food, three meals served per day and snacks available. Confidential interview reveal residents feel safe and treated with respect. Staff deny there is a lack of supervision for residents and regular checks on residents are conducted. Documentary evidence show residents are administered medication as required. Continued on LIC 9099-C. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: VISIT DATE: 10/11/2023

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

met_with: Deandra Wilson/Facility Manager


raw_content:
Investigation Findings:
13On November 15, 2023 at 1: PM, Licensing Program Analyst (LPA) C. White arrived at Dream Home Care V. for the purpose of delivering findings for the allegations listed above. LPA met with Direct Care Staff, Tiara Bryant. During the course of this investigation, LPA conducted confidential interviews, gathered pertinent information, and performed a walk through of the facility. Staff denied the allegation and stated they conduct regular facility maintenance checks to ensure the facility is clean, safe, and secure. Client statements did not provide information to support the allegation. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. There were no deficiencies cited. An exit interview was completed, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 3

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

met_with: Tiara Bryant - Direct Care Staff


raw_content:
Investigation Findings:
13On July 2, 2024, Licensing Program Analyst (LPA) C. White arrived at Dream Home Care V. for the purpose of delivering findings for the allegation listed above. LPA met with Administrator, Kevin Bennett. During the course of this investigation, LPA conducted confidential interviews and gathered pertinent information. Staff denied the allegation and stated clients in care have been provided therapeutic services. Client statements did not provide information to support the allegation. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. There were no deficiencies cited. An exit interview was completed, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Kevin Bennett - Administrator


raw_content:
Investigation Findings:
13On 1/31/25 at 11: AM, Licensing Program Analyst (LPA) Reagan Cohen and Liscensing Program Manager (LPM) Lakescia Smith arrived at Dream Home Care V and met with Admin Kevin Bennett for the purpose of delivering complaint findings regarding the above allegation. LPA interviewed involved staff and clients. Multiple staff interviews stated that the Head of Service does not retaliate against staff. However, other interviews confirmed the Head of service retaliated against staff. LPA received multiple conflicting reports from staff when asked about the allegations. 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 "Head of Service retaliates against staff" has been found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report. 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 1

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

met_with: Kevin Bennett


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the available information LPA gathered from interviews and observation of the facility complaint procedures, the preponderance of the evidence standard has been met, therefore the allegation of "Staff are not implementing proper written complaint procedures for minors in care" is found to be substantiated. The Facility is being cited for violating the Interim Licensing Standards Article Section 87072.2 (a) Complaint Procedures. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights.

Investigation Findings:
13On 1/31/25 at 11: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at Dream Home Care V and met with Admin Kevin Benett for the purpose of delivering complaint findings regarding the above allegations. LPA interviewed involved staff and clients. Interview evidence and record review revealed that the facility is not implementing proper written complaint procedures for minors in care. Interviews reveal that clients don't know or remember the complaint procedures and don't feel they will remain anonymous. Additionally, interviews reveal that complaints are discussed publicly which also contributes to the lack of anonymity for the complainant. The actions to address and correct received complaints should allow the complainant to remain anonymous during the process. 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 El Segundo, CA Facility Name: Dream Home Care INC. VFACILITY NUMBER: VISIT DATE: 01/31/2025

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


facility_name: DREAM HOME CARE INC.I

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the above allegations. LPA spoke to the RP, who would not reveal the name of the complainant. LPA also spoke to the CEO of Dream Home Care, Inc I and to Client #1. LPA reviewed documentation that the facility provided trained staff and nurses to assist Client #1 with his dietary and medication and documentation that the situation was discussed in several CFT meetings. Although the facility provided ample documentation that appropriate steps were taken to accomodate Client #1's dietary and medication needs, it was determined that an "unfounded" finding could not be rendered without the LPA having access to speak to the original reporter to determine what triggered the allegation. Therefore the allegation is resolved as unsubstantiated. Unsubstantiated means that the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Ruth Mares, Facility Manager


raw_content:
Investigation Findings:
13Licensing program analyst Connie Jones-Steward investigated the above allegations. LPA reviewed the activity calendar, clothing allowance policy and food supply. LPA interviewed staff and clients. LPA was not able to obtain consistant information regarding the above allegations during the interviews or observations. Based on lack of consistancy in interviews and observations, the above allegations were resolved as unsubstantiated.. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Jerrell Nero, Administrator


raw_content:
Narrative:
Evidence obtained confirm that the clients were provided haircuts on a biweekly basis. Evidence also indicated that the clients receive daily meals that include breakfast, lunch, snack, and dinner. Due to a lack of evidence obtained during the investigation, LPA determined that the allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Administrator.

Investigation Findings:
13On September 14, 2023, at 11: AM, Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at DREAM HOME CARE INC.I to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available parties and gathered pertinent information in reference to the allegation. The Licensee denied the allegation. Based on confidential interviews, review of documentary evidence, and observation of facility there is no evidence or witnesses to support, that staff is barricading clients' windows to prevent them from entering and exiting facility. There was no observation of sticks placed in the window preventing window to open and close. Records and confidential interviews were congruent that the staff utilized crisis communication techniques to discourage unauthorized absences of clients. Incidents of client's unauthorized absences are documented on an Incident Report and client's representatives and CCLD were advised of incidents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 09/14/2023

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

met_with: Program Administrator


raw_content:
Narrative:
The staff utilized crisis communication techniques by encouraging C#1 to relax, take deep breaths, and walk away prior to the altercation. During the altercation staff attempted to evade punches and utilize two person restraint methods to de-escalate C#1. Local law enforcement and medical emergency services were contacted. The incident was documented timely and reported to C#1 representative. C#1 history of verbal aggressive and assaultive behaviors were documented on Child and Family Team (CFT) Meeting and planning notes. Due to a lack of evidence obtained during the investigation, LPA determined that the allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Administrator.

Investigation Findings:
13On October 6, 2023, at 12: PM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at DREAM HOME CARE INC.I to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available parties and gathered pertinent information in reference to the allegation. The Licensee denied the allegation. Statements indicate that Child #1 became upset after staff advised C#1 that staff was unable to provide transportation and take C#1 to the park. Confidential statements were consistent that C#1 initiated physically assaulting staff by punching staff in the face with a closed fist. Based on confidential interviews, review of documentary evidence, and observation of facility there is no evidence or witnesses to support, that the staff engaged in a physical altercation with minor(s) in care, causing injuries. Statements indicated that C#1 injuries were a result of movement that occurred during altercation with staff. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 10/06/2023

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


raw_content:
Narrative:
It was reported to LPA that youth did receive medication as required. Documents provided to LPA reveal that youth were administered medication. Confidential interviews did not reveal staff brought a gun into the facility. It was reported to LPA that youth's mental/emotional are being met. Documentary evidence reveal that youth received haircuts and refused haircuts. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the allegations, listed above. LPA was unable to determine if the above said allegations occurred due to inconsistent statements, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that violations occurred. If any additional information is received, this complaint can be amended, and the finding can be changed. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit interview was conducted and report was provided with Jerell Nero/Administrator

Investigation Findings:
13On October 11, 2023 at 1: PM, Licensing Program Analyst (LPA), Zena Phillips made an unannounced visit to Dream Home Care Inc. III for the purpose of delivering findings on complaint allegations listed above. During the investigation LPA Phillips interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the documentary evidence, interviews, and statements obtained during the investigation process there was not enough evidence to support the allegations listed above. The Licensee denied the allegations. Based on confidential interviews, review of documentary evidence, and observation of facility there is no evidence or witnesses to support the above allegations occured. Confidential interviews and documentarty evidence reveal three meals served per day and snacks are available. It was reported to LPA rooms checks are conducted routinely every 15 minutes and noted on monitor logs. It was reported to LPA that Staff did not threathen youths in care and ensure youths were adequately fed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 10/11/2023

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

met_with: Jerrell Nero/Administrator


raw_content:
Investigation Findings:
13On October 11, 2023 @ 3:35PM Licensing Program Analyst (LPA) Zena Phillips made a follow up visit to DREAM HOME CARE INC.I for the purpose of delivering findings on the allegation listed above. During the investigation LPA conducted confidential interviews and reviewed documentary evidences. Statements were consistent and documentary evidences indicated that staff was sleep while on duty. Based on the documentary evidence obtained by LPA a staff write up for sleeping on duty. The documentary evidence did produce corroborating evidence to support the allegation: Staff were sleeping on the job. Facility cited for violation of California Code of Regulations, Title Division Six, regulation 87065.5(a)(1)(2) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: 198209613

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

met_with: Jerell Nero/Administrator


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

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Narrative:
There was no evidence Staff threatened minor in care , staff did not treat minor with dignity and respect and staff yelled at minor in care. There was no evidence in the interviews conducted that these allegations occurred. There was no evidence that staff did not meet reporting requirements. Staff was unaware of the incident in question occuring. There was no evidence that staff allowed unauthorized adult to transport minor. LPA obtained C1's authorized visitation log. The adult in question was not on the log but Staff #4 (S4) and Child #1 (C1) were unavailable for comment. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred; therefore, the above allegation is Unsubstantiated. There are no deficiencies being cited at this time.

Investigation Findings:
13On September 19, 2024 at 2pm, Licensing Program Analyst (LPA) Donald Martin conducted a follow up complaint inspection and spoke with Administrator, Jerell Nero. The purpose of this inspection was to deliver findings for the above complaint allegation. During the course of investigation the allegations for staff threatened minor in care, staff did not treat minor with dignity and respect, staff yelled at minor in care, staff did not meet reporting requirements and staff allowed unauthorized adult to transport minor, interviews were conducted and documents obtained. The interviews did not produce corroborating evidence to support said allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. There was no evidence that staff threatened minor in care , staff did not treat minor with dignity and respect, staff yelled at minor in care, staff did not meet reporting requirements and staff allowed unauthorized adult to transport minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Donald C Martin LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 10/01/2024

Deficiencies:
87065.5: (1) During the hours of 7 am to 10 pm, there shall be one awake and on duty .

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7Facility is to submit a sign in sheet for training on health and safety risks while working with clients in care by October 22, 2024
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met_with: Jerell Nero-Administrator

title: Direct Care Staff/Child Ratios       (a) In a facility with a licensed capacity of six or fewer children, there shall be coverage by direct care staff as follows


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Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward conducted a thorough investigation of the allegations that staff called client names, staff made inappropriate comments to client, staff pushed another client and staff tries to intimidate client. LPA interviewed staff including the accused staff (S1), facility manager, shift supervisor and administrator. LPA also interviewed three of the four clients and reviewed the disciplinary notice and documentation of retraining given to S1. All staff denied both that they personally committed any of the above allegations and that they witnessed any co-workers committing these allegations, although it was acknowledged that S1 has an aggresive tone of voice and was suspended for speaking harshly to C1. The interviews provided by C1, C2 abd C4 were inconsistent and vague. During the course of the investigation, LPA Jones-Steward was unable to gather enough cohesive information to substantiate or disprove the allegations. Therefore they are resolved as unsubstantiated. Unsubstantiated means that although an allegations may have happened or is valid, there is not enough evidence to prove that it did happen UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Tianna Gammage, Facility Manager


facility_name: DREAM HOME CARE, INC. III

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Narrative:
that debris and sharp objects were not accessible to children in care, noise did not interrupt the children in care sleep, and repairs did not require for children in care and staff to be temporarily located. Children were not restricted from using other rooms in the facility during repairs. Children in care were allowed to use their personal devices for entertainment purposes in their bedrooms during repairs. The department received the facility's plan to replace the common area flooring prior to the repairs occurring. Invoice receipts obtained indicated repairs were completed by proposed completion date. Due to a lack of evidence obtained during the investigation, LPA determined that the allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Administrator.

Investigation Findings:
13On October 24, 2023, at 9:30AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at DREAM HOME CARE INC.III to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all available parties and gathered pertinent information in reference to the allegation. The Licensee denied the allegation. Based on confidential interviews, review of documentary evidence, and observation of facility there is no evidence or witnesses to support, that the facility staff are not providing a safe environment for children in care. Statements indicated that common area flooring of facility was replaced July 17, 2023 - July 19, 2023. Statements were consistent that the repairs in the common area of the facility did not have an impact on the children in care receiving services. Evidence obtained indicated that facility staff provided a safe environment for children in care, by not permitting entrance to the common area during the repairs, ensuring...Continued on LIC Page UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care, INC. IIIFACILITY NUMBER: VISIT DATE: 10/24/2023

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

met_with: Administrator


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Narrative:
Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the allegations. Due to conflicting statements gathered in the interviews. LPA Phillips was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report will be emailed Kevin Bennett/ Program Administrator.

Investigation Findings:
13On 12/18/2023 @ 1:41PM Licensing Program Analyst (LPA) Zena Phillips made follow up visit to DREAM HOME CARE, INC. III for the purpose of delivering findings on the allegations listed above. During the investigation LPA Phillips interviewed and accounted for all available relevant parties; and gathered pertinent information regarding the allegations. Based on the documentary evidence, interviews, and statements obtained during the investigation process, the allegations are unsubstantiated. Staff denied the allegations listed above and reported that staff would not threaten minors in care and did not bring firearm to facility. It was reported to LPA that there is plenty of food, three meals served per day and snacks available. Confidential interviews revealed residents feel safe and treated with respect. Staff deny there is a lack of supervision for residents and regular checks on residents are conducted. Documentary evidence show residents are administered medication as required. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Zena Phillips LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care, INC. IIIFACILITY NUMBER: VISIT DATE: 12/18/2023

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

met_with: Kevin Bennett/Program Administrator


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Investigation Findings:
13Licensing Program Analyts Connie Jones-Steward and Zena Phillips investigated the above allegations. During the course of the investigation, three staff were interviewed. These three staff including all males staff that were employed at the time of the incident. C1 and C2 were also interviewed. During the course of the investigation, conflicting accounts were given. C1 denied to LPA Jones-Steward that he remembered making the allegations, being accused of sending sexually explicit photos or placing photos of others on social media. All staff denied any knowlege of the alleged sexual abuse. They also denied seeing any of the alleged nude photos. C2 denied that any inappropriate photos o himf were placed on line by C1. Based on conflicting information, the allegations are resolved as unsubstantiated. Unsubstantiated means that although an allegation may have happened or is valid, there is not a preponderance of evidence that it did happen. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Kevin Bennett, Administrator


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Narrative:
LPA also received a copy of the therapy session notes from December 2024 to February 2025, showing that therapy sessions were still being offered. Also, these notes confirm staff statements that therapy sessions are offered twice a week for a minimum of two hours. While some staff disagree on the required amount of time offered weekly for therapy sessions, all interviewed parties, including staff and clients, agreed that therapy sessions were still offered weekly at all times. Also, the received therapy notes show that therapy sessions were always being offered. 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 ensure adequate therapeutic services were provided to minors 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.

Investigation Findings:
13On 7/2/25 at 3: PM , Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Administrator Kevin Bennett for the purpose of delivering complaint findings regarding the above allegation. LPA interviewed involved staff, clients, and witnesses. Staff interviews stated that the facilities policy is to provide "a minimum of two hours per week of group therapy and one and a half hour of individual therapy". Multiple staff and client interviews reported that these group and individual therapy sessions are being provided and are in line with facility policy. Multiple clients shared that though the sessions are offered, they often either decline or don't actively speak and participate in the sessions, making them shorter. All staff and clients stated that therapy sessions are offered on a weekly basis. One staff interview stated that "STRTP regulations require an on site therapist from 9-5... (the facility) has not been providing 9-5 coverage." LPA researched both the STRTP regulations and the facility program statement and could not find any minimum time requirement for a therapist to be present, only that therapy sessions are required to be offered. 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 El Segundo, CA Facility Name: Dream Home Care, INC. IIIFACILITY NUMBER: VISIT DATE: 07/02/2025

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


summary: Complaint Investigation - Substantiated

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Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward met with the facility manager to discuss the allegations, LPA asked for menus and was told that the menus are prepared in advance by headquarters. However no menus were prepared for the month of June and there is currently no dinner menu for July and no plans for tonight's dinner, LPA reviewed the allowance logs which indicate that clients receive allowances on a weekly basis. LPA reviewed the records of activity outings and received copies C1 and C2 were not available. C3 and C4 are new arrivals and therefore could not address the allegations. Based on the absence of menus and the statements by the facility manager, the allegation that the staff does not follow a set menu was substantiated. The facility was cited under Title 22 87076(b) for failure to post and follow written menus as required. This report is an amendment and supercedes the original. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care, INC. IIIFACILITY NUMBER: 198209626

met_with: Shayanne Macias, Facility Manager


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Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the allegations that clients do not receive nutritious food, do not receive an allowance and are not provided with activities. LPA reviewed the food supplies, the menus, the allowance logs, the activity calendar and activity receipts. LPA also interviewed staff and clients, The clients indicated that they receive a regular allowance and healthy food. They also indicated that they are offered regular activities, The food supply was in accordance with Title 22 regulations. Based on the evidence and interviews, the above allegations are resolved as unsubtantiated. Unsubstantiated means that although an allegation may be valid or true, there is not a preponderance of evidence that it is true. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Connie Jones-Steward LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

met_with: Britney Rodriguez, Cliician


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Connie Jones-Steward met with administrator Kevin Bennett to conduct the Annual Required Inspection. The inspection began at 10: AM and the following was observed: This is a three bedroom, four bathroom house located in a residential section of the City of Carson, CA. There were no security bars on windows. The were no swimming pools or bodies of water on the premises. Smoke detectors and carbon monoxide detectors were working and placed in the hallways and bedrooms. There were two fully charged fire extinguishers. All knives, medications and hazardous items were stored in locked areas. The facility van was visually inspected. There was an area designated as a therapy room. All client records are stored in a secured area on-site. Employee records are centrally stored off-site. LPA will review the employee files at a later date. Kitchen and bathroom equipment was in working condition. The food supply met Title 22 requirements The yard area was clear of hazards. Trash cans were covered. There was a complete supply of first aid items in the home. Menu, administrator certificates and employee work schedule were posted and current. All bedrooms were equipped with two twin beds in good condition and storage space for two clients. LPA will return at a scheduled date to review employee files, conduct needed interviews and complete the inspection.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Connie Jones-Steward arrived at the facility to continue the annual inspection. LPA interviewed 2 staff members. There are currently no clients on roster. LPA reviewed the personnel files of four Direct Care Staff members. LPA made a request to review the files for the administrator, the facility manager and one social worker. Those files will be reviewed at a later date. There were no deficiencies found as a result of the personnel file reviews.

met_with: Kevin Bennett/Administrator


facility_name: EA NIGHTHAWK STRTP

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Narrative:
Interviews and records reviewed were consistent that one minor was restrained one time, on the first day of placement at the facility, following attempts by the minor to hurt themselves. The restraint was less than 5 minutes and was documented to have followed regulatory requirements of a Small Child Restraint. Record review indicates that comments made during a supervised visit with the minor, indicate the minor was restrained, but there was no mention of the restraint being inappropriate or causing injury. The visit monitor remained within earshot of the minor during the visit and did not hear any comments about the restraint being inappropriate. One of the four minors interviewed indicated having been hurt by staff in the past during a restraint, but no details were reported about how the minor was hurt. Staff records indicated that the staff were current on their annual training, including restraint training. Based on LPA's observations, interviews which were conducted, and records reviewed, the allegation is UNSUBSTANTIATED, meaning that the allegation is false, could not have happened, or is without reasonable basis. A signed copy of this LIC-9099 report and the LIC-9099C were provided to the facility, along with appeal rights. An exit interview was conducted.

Investigation Findings:
13Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Diana Tichenor, Administrator. LPA Vue conducted the complaint investigation. LPA opened the investigation with the facility on 06/11/24 and met with Diana Tichenor, Administrator, and conducted a Health and Safety Inspection. During the course of the investigation, LPA conducted fifteen confidential interviews. LPA reviewed records from the facility including Staff schedule for the month of May, LIC 500 with staff contacts, current list of staff training, and most recent Needs and Service for one minor. LPA also reviewed additional records including Placement Roster, Placement Behavior Checklist, Visitation notes, Serious Incident Reports (SIR), Medical Records, Court Records, County Delivered Logs, and email documents. 9099 continued on 9099c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Lyta Vue 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: EA NIGHTHAWK STRTPFACILITY NUMBER: VISIT DATE: 07/25/2024

met_with: Diana Tichenor, Administrator


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Narrative:
continuation from on LPA Brown reviewed records to include case notes, Needs and Services plan, Child and Family Team meeting notes, staff training record regarding discipline and restraints, pest control service receipt, client medical records, incident reports, menus, recent grocery receipt, and a facility roster. Photographs were provided of one child having two scratches, one on their cheek and one on their neck. Interviews were consistent that the origin of the scratches were unknown. The client reported that it had happened in the shower that morning. Staff report that the client did not take a shower prior to coming to school that day. It was alleged that staff scratched a client when rubbing the client's own spit back on them. Staff denied ever taking or observing anyone take spite off of themselves and smearing it onto the client. Records review demonstrate that staff are trained in Therapeutic Crisis Intervention and included incident reports where client was restrained for assaultive behavior 18 times in a four-month period. Attempted interventions, circumstances surrounding the restraints, as well as duration were outlined in the reports submitted to the Department. It was alleged that a staff member sat on a client during a restraint. Interviews were consistent that staff members do not and did not sit on clients during a restraint. Records review demonstrate that the reporting party repeatedly brought up concerns with a point system used by the facility. The same records demonstrate, and interviews were consistent, that these levels are used as positive reinforcement for good behavior. Staff interviews were consistent that discipline includes conversation and natural consequences. Based on LPA's observations, interviews, and records reviewed, although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the violations did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted and a copy of the report was provided along with appeal rights.

Investigation Findings:
13Licensing Program Analysts (LPAs) Misty Valencia and Yesenia Vellejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPAs met with Diana Tichenor, Administrator. Licensing Program Analysts Brown, Yesenia Vallejo, and Tina Thorn conducted the complaint investigation. LPA Brown initiated the investigation with the facility on 11/21/2024 and met with the mental health clinician and conducted interview and a Health and Safety Inspection was conducted. During the course of the investigation, LPA Brown also interviewed the reporting party, the facility administrator, two clients, one county social worker, and one county social worker supervisor. LPA Vallejo interviewed two facility managers and one senior facility supervisor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Misty Valencia 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 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: EA NIGHTHAWK STRTPFACILITY NUMBER: VISIT DATE: 02/11/2025