raw_content:
Narrative:
Based on the information obtained from confidential statements and documentary evidence, there is a lack of evidence to prove the alleged. Confidential statements produced non-corroborating facts to support neglect/lack of supervision. Statements obtained and review of supervision logs indicate staff conduct supervision rounds every 5-15 minutes and residents are appropriately supervised. Based on the above information and documentation provided, there is not enough evidence to support the allegation. Therefore, the allegation of neglect/lack of supervision leading to sexual abuse to be deemed Unsubstantiated. There are no deficiencies cited at this time. Exit interview completed. A copy of this report and LIC811 was provided to Facility Representatives-Administrator Janina Holt.

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

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

met_with: Facility Representative, Janina Holt, Administrator


state: CA

facility_name: DIMONDALE ADOLESCENT #9

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
There was no evidence or witnesses to support the fact that the facility did not provide eating utensils. Due to the delay in completing the repairs, on November 14, 2022, the facility was placed on a voluntary hold and children in care were transitioned to other placement facilities. Sharp objects were made inaccessible to children in care, disposable plastic utensils were observed in the kitchen area. 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 Chief Program Officer Theresa Foster

Investigation Findings:
13On December 8, 2023, at 11: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit at Adminstrative office of DIMONDALE ADOLESCENT Facility #9, located at Hawthorne Blvd. Ste Torrance, CA 90505 for the purpose to conclude the investigation and to deliver the finding. 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. LPA observed two bathrooms in the facility to be under repair due to leaks in the wall and asbestos. Evidence obtained indicated that the facility provided a safe environment for children in care, by not permitting entrance to the bathrooms, August 15, 2022- August 17, 2022. Children in care were temporarily relocated to a hotel while the bathrooms were being repaired and a plan was submitted to the department. Invoice receipts obtained indicate that evidence of asbestos was cleared, and children in care were safe to reenter the facility. Statements were consistent that the repairs to bathrooms were safe and construction to walls were pending due to insurance. 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 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT #9FACILITY NUMBER: VISIT DATE: 12/08/2023

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

report_type: Complaint Investigation

met_with: Chief Program Officer-Theresa Foster

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On 09/15/2021, Licensing Program Analyst (LPA) Enrique Hernandez conducted a Case Management - Incident inspection at Dimondale # STRTP, and met with Facility Administrator (FA) Janina Nyla, in response to a Special Incident Report that was submitted to Community Care Licensing (CCL), in order to investigate a possible violation. The incident, which was received by the department, on 9/15/2021, involved a staff #1 getting in a physical fight with a neighbor next to the facility. LPA interviewed FA, C1 and C2 at the time of the inspection.[see LIC Confidential Names List form (LIC811), dated 09/09/2021, for names]. Further investigation is needed in order to resolve this Case Management - Incident Inspection, and to determine whether a violation had occurred. PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3.1, there are no deficiencies to be cited at this time. Exit Interview conducted, and due to technical difficulties with the printer , a copy of this report will be emailed to the Facility Administrator (FA).

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On January 18, 2022 at 10am Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required inspection. LPA met with Janina Holt, Administrator and together we conducted a facility inspection. This facility is currently licensed to care for a maximum of six (6) ambulatory only children, ages 12-17 years, as well as non-minor dependents. This is a one-story home, located in a residential neighborhood, with three (3) bedrooms and two (2) bathrooms, living room, dining room, one staff office, a room for therapeutic use, backyard, and garage. There are no security bars on the windows, there are no firearms or dangerous weapons, and there are no active facility cameras on the facility premises. There is also no pool or bodies of water on the premises. The facility is set up as follows: This is a one-story home, located in a residential neighborhood, with three (3) bedrooms and two (2) bathrooms, living room, dining room, two staff offices (downstairs), backyard and garage. There are no security bars on the windows, there are no firearms or dangerous weapons, and there are no facility cameras on the facility premises. There is also no pool or bodies of water on the premises. All bedrooms are located upstairs, and furnished with sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows, all in good repair. Bedroom#1, 2 & 3 are equipped with 2 twin beds, two dressers and ample closet space for two residents. Bed room #3 has a full bathroom only to be used by the clients in the room. Hall Bathroom: This bathroom is used by rooms 1 & 2. It has a shower, toilet and sink all in good working condition. Staff office: shall be locked, and stores medications, cash, first aid kit, etc. The office is also equipped with a closet, which will store staff and client files. (Continued on LIC809-C) Closet: Locked and located adjacent to the entrance that stores hygiene and cleaning solutions etc. Kitchen: There is an electric stove/oven with 5 burners all working at this time. There is a microwave and refrigerator/freezer. The food service in the home was low but adequate with perishable/nonperishable food supplies. Administrator stated that food supplies are replenished every Thursday. Applicant shall ensure three nutritious meals, snacks, and special diets. There is also a refrigerator located in the main office for medication requiring refrigeration. Garage: There is an extra refrigerator, a deep freezer, and additional storage cabinets Living room, dining-room, kitchen, bedrooms and bathrooms are clean, sanitary, and in good repair. First aid kit is complete with scissors, tweezers, thermometer, gauzes, antiseptic and First Aid Manual. Fire extinguishers are available and fully charged. Knives are safe and secure, and cleaning solution/toxins are inaccessible. There are extra linens, and hygiene supplies available. The yard and surrounding areas are free and clear of debris. Carbon monoxide detector, and all smoke detectors are fully functional. The facility is observed in overall good repair and working order. Fireplace is secured and not used. Medication storage was observed to be locked and secure in the staff office. All posting requirements are met. The weekly menu is current and posted. Facility vehicle has current registration, and insurance. LPA reviewed two staff files and tow client files, All required documents were present. Note: The home over all was in compliance but the client rooms were in complete disarray. Clients keeping their rooms clean is considered part of the life skills that should be enforced by staff on a daily basis. There were no deficiencies cited at the time of this inspection.

visit_type: Annual

met_with: Janina Holt-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On April 27, 2022 at 9:58am Licensing Program Analysts (LPAs), Emelyn Sanchez P. and Olivia Rosas arrived at Dimondale Adolescent #9 facility unannounced for the purpose of conducting a SB Psychotropic Medication Case Management- Medication Inspection Visit. LPAs Sanchez P. and Rosas met with Sophia Sanford, Facility Administrator. LPAs Sanchez P. and Rosas reviewed three (3) client files and three (3) staff files. LPAs Sanchez P. and Rosas conducted three (3) staff interviews and two (2) client interviews. Currently there are six (6) clients residing in the above facility. This is a facility located in a residential area and equipped with three (3) bedrooms, one (1) staff office, two (2) bathrooms, living room, kitchen, dining room, game room, laundry space and attached garage. A Therapy room is also located in the backyard. There are no bodies of water on the premises. Common areas area clean and in good repair. Rooms are fully furnished with two beds, and closet space. Outdoor space is free of obstructions. LPAs Sanchez P. and Rosas observed the facility to be clean, safe, sanitary and in good repair. LPAs Sanchez P. and Rosas observed adequate staffing in the facility to provide care and supervision to children in care. LPAs Sanchez P. and Rosas also observed medication to be stored in the Staff Office double locked and inaccessible to clients and unauthorized staff members. There were no deficiencies cited at this time. Exit interview was conducted, and a copy of this report was left at the facility.

met_with: Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 1, 2021 at 11:30 am Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to for the purpose of conducting a case management incident regarding the the reporting requirements. LPA met with Facility Administrator Janina Holt who granted access to Dimondale #2 where she was and together discussed the Case Management details to address concerns regarding reporting requirements. The facility did not report to CCL that Client #1 (C1) was not taking his psychotropic medication. CCL received the complaint regarding that issue on 9/9/ LPA informed the Facility Administrator the importance of submitting the reports in a timely matter PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS), Chapter 7. Version 3.1, The following deficiency is to be cited Exit interview was conducted with the facility Administrator. A copy of this report was left with the facility administrator whose signature on this form confirm receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the Chief Program Officer to conduct the pre licensing/relocation inspection. The following was observed. This is four bedroom, three bathroom, single family dwelling located in a residential section of the City of Carson, CA. There are currently no clients in placement. The home is fully furnished with four sofas, two big screen TVS, a dining table that seats eight. There are no bodies of water on the premises and no security bars on windows. The backyard area is free of hazards. There is an enclosed fireplace in the living room area. There are working smoke and carbon monoxide detectors in the hallways and bedroom. There is also a fire pull station and a security system. There is an office space in the back yard that will serve as the mental health room. The kitchen area is clean with stove and refrigerator in good working condition. The bathroom fixtures are clean and in good repair, Hot water temperature is safe. There are locked storage areas for knives, household cleaners and medications. There is a first aid kit which lacks tweezers, thermometer and first aid manual. Bedrooms 1 & 4 each have two twin beds with good mattresses and the required linens. There is adequate storage space for two clients. Bedrooms 2 & 3 each have one twin bed with good mattresses and the required linens. There is adequate storage space for one client. All bedrooms have operational windows. The following will be posted as required: The license, floor plan, notice personal, notice of employee rights, menu and client grievance procedure. The applicant will submit photos to show that these required postings are in place. LPA will return to inspect the facility van

visit_type: Prelicensing

met_with: Theresa Foster, Chief Program Officer


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited the facility to continue the pre-licensing inspection. LPA reviewed first aid kit and found a full inventory of supplies including a thermometer, tweezers, scissors, bandages, antiseptics and a first aid manual. LPA also reviewed the facility van and found the safety features to be working, including horn, headlights, taillights, turn signals and seat belts. The tires appear to be in good condition. At this time the facility has passed the physical plant requirements of the pre-licensing inspection. The fire clearance is still pending.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the Chief Program Officer to conduct the post-licensing inspection. The following was observed. This is four bedroom, three bathroom, single family dwelling located in a residential section of the City of Carson, CA. There are currently no clients in placement. There are currently no direct care staff assigned to this facility. The administrator serves as the AM facility manager and a PM facility manager will be hired prior to accepting clients. The administrator's paperwork is complete and current. The home is fully furnished with four sofas, two big screen TVS and a dining table that seats eight. There are no bodies of water on the premises and no security bars on windows. The backyard area is free of hazards. There is an enclosed fireplace in the living room area. There are working smoke and carbon monoxide detectors in the hallways and bedroom. There is also a fire pull station and a security system. There is an office space in the back yard that will serve as the mental health room. The kitchen area is clean with stove and refrigerator in good working condition. The bathroom fixtures are clean and in good repair, Hot water temperature is safe. There is frozen and non-perishable food to meet the requirements of Title 22. There are locked storage areas for knives, household cleaners and medications. There are no firearms on the premises. There is a complete first aid kit. Bedrooms 1 & 4 each have two twin beds with good mattresses and the required linens. There is adequate storage space for two clients. Bedrooms 2 & 3 each have one twin bed with good mattresses and the required linens. There is adequate storage space for one client. All bedrooms have operational windows. The following items are posted as required: The license, floor plan, notice of personal rights, notice of employee rights, emergency disaster plan, employee work schedule and client grievance procedure. There were no deficiencies found as a result of this inspection.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the Assistant Administrator to conduct the annual required inspection. The following was observed. This is four bedroom, three bathroom, single family dwelling located in a residential section of the City of Carson, CA. There is also back house that serves as a therapy/interview room. There is currently one client in placement. The following was observed: Den/Dining Room/Kitchen The home is fully furnished with four sofas, two big screen TVS, a dining table that seats eight and four dining chairs at the counter. The stove and refrigerator are in good working order. Knives and household cleaners are safely stored. There are adequate dishes, eating utensils and cooking utensils. The food supply meets Title 22 requirements. The menu is posted and current. Trash can is covered. Bedrooms Bedrooms 1 & 3 each have single twin beds. Bedrooms 2 & 4 each have two twin beds. All beds have the required linens, There are wooden blinds on the windows. There are no security bars on bedroom windows. There is adequate storage space in each bedroom. Bathrooms There are two client bathrooms and one staff bathroom. Each has fixtures in good condition. Hot water temperature is within the safe range. Fire Safety: There are three fully charged fire extinguishers in the home. There are smoke and carbon monoxide detectors in each bedroom and in the hallway. The fireplace in the den is gated. Yard Area: There is a patio area with one sofa and two padded seats. All patio furniture is in good condition. Outside trash cans are covered. Office: All client and staff files are stored in locked cabinets. Medications are also stored in a locked closet in the office as are the dangerous sharp items. Misc There is a complete first aid kit. The floor plan, employee schedule, facility license and notice of client's personal rights are all posted. There is a grievance box posted in the living room area. There is a washer & dryer in the garage. Client records were reviewed. Medication and placement documents were complete. LPA will review staff records at a later date.

met_with: Joaquin Barnett, Asst. Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited the facility to conduct a follow-up of special incident report #1372044. Per Mr. Barnett, he picked up C1 from Los Padrinos on 07/22/25. Mr. Barnett asked Los Padrinos if the client was on medication and was told no. However, during an assessment with the Head of Service, C1 mentioned that he was on ADHD medication while he was at home but while at Los Padrinos, for a month, he was without his medication. C1 then met with the psychiatrist who issued a JV 220 on 08/01/25. However the pharmacy would not fill it because C1's father had just picked up the same medications. The father dropped off the medication that C1 had been taking at home on 08/03/25. However since it was not in a bubble pack, staff could not be sure that it was the correct medication or had not been tampered with. C1 was discharged back to Los Padrinos on 08/05/25. He never received his medication while at Dimondale #9. LPA received a copy of the JV 220(A). LPA asked for copies, the discharge papers from Los Padrinos, any CFT notes and any communication records between Dimondale 9 and the pharmacy.

met_with: Joaquin Barnett, Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Ms. Elisha Chapman to discuss Special Incident Report #1408028 which reported that on Sept. 20 and Sept 21, 2025, S1 and S2 failed to give C1 his morning psychotropic and anti-seizure medication because they thought they were to be given "as needed". Per Ms. Chapman, both staff members stated that the last time C1 was in the facility, he was taking both medications as a PRN so they didn't check the PMAR or MAR to verify the current dosage instructions. LPA reviewed the medication book and found that medication #2, which is a psychotropic, was marked as not psychotropic in error. Ms. Chapman provided a sign in sheet showing that S1, S2 and eight others attended a 1.5 hour training on medication handling expectations on 09/22/2025. The facility was cited under Title 22 80070(f) Client Records and 87075(c) Health Related Services.

met_with: Elisha Chapman, management designee


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with the Area Manager Raven Morrow to conduct the annual required inspection. The following was observed. This is four bedroom, three bathroom, single family dwelling located in a residential section of the City of Carson, CA. There is also back house that serves as a therapy/interview room. There is currently three clients in placement. The following was observed: Den/Dining Room/Kitchen The home is fully furnished with four sofas, two big screen TVS, a dining table that seats eight and four dining chairs at the counter. The stove and refrigerator are in good working order. Knives and household cleaners are safely stored. There are adequate dishes, eating utensils and cooking utensils. The food supply meets Title 22 requirements. Trash can is covered. Bedrooms Bedrooms 1 & 3 each have single twin beds. Bedrooms 2 & 4 each have two twin beds. All beds have the required linens, There are wooden blinds on the windows. There are no security bars on bedroom windows. There is adequate storage space in each bedroom. Bathrooms There are two client bathrooms and one staff bathroom. Each has fixtures that are clean and in good condition. Hot water temperature is within the safe range. Fire Safety: There are three fully charged fire extinguishers in the home. There are smoke and carbon monoxide detectors in each bedroom and in the hallway. The fireplace in the den is gated. Disaster drills are conducted on a weekly basis. Yard Area: There is a patio area with one sofa and two padded seats. All patio furniture is in good condition. Outside trash cans are covered. Office: All client and staff files are stored in locked cabinets. Medications are also stored in a locked closet in the office as are the dangerous sharp items. Misc There is a complete first aid kit. The floor plan, employee schedule, facility license and notice of client's personal rights are all posted. There is a grievance box posted in the living room area. There is a washer & dryer in the garage. Client & staff records were reviewed. LPA reviewed the allowance logs and the restraint log. Medication and placement documents were complete. Staff and client interviews will be conducted at a future date The facility was cited under Title 22 87065(g)(1)

met_with: Area Manager, Raven Morrow


facility_name: DIVE OPPORTUNITIES STRTP

summary: Facility Evaluation

raw_content:
Narrative:
On Monday, September 29, 2025, at 9:00 a.m., Licensing Program Analysts (LPAs) Gilbert Gutierrez and John Bonilla conducted a pre-licensing inspection at DIVE Opportunities STRTP, a Short-Term Residential Therapeutic Program (STRTP). LPAs met with Executive Director Dana Maxie and potential Facility Administrator Ebony Maxie, who provided a tour of the facility. Physical Plant This facility is located in a quiet residential community. The facility consists of three (3) bedrooms, a shared Administrator/ Mental Health Office, kitchen, dining area, laundry room in garage, and a backyard. The facility contains an above ground hot tub which is empty and not operational and has been made inaccessible via a secured cover. Overall, the facility is clean, sanitary and in good condition. Passageways are free from obstruction. STRTP will conduct yard maintenance in backyard to revive browning lawn. Fixtures, Furniture, Equipment, and Supplies The home has toilets and wash basins for clients' use. Client bedrooms were observed to be clean, orderly, and contained twin beds. LPAs observed clean pillows, bed sheets and blankets. The clients' bedroom has adequate closet and drawer space to accommodate the clients' clothing and personal belongings. Continued next page... Heath Related Services and Record Keeping The first aid kit will be centrally stored in the kitchen. The kit contains all required supplies. The client and staff files will be in a locked file cabinet located in the Administrator Office. The medication will be stored in a locked individual container located in the Administrator Office. LPAs also conducted Component III - Category Specific Orientation with the applicants. The following items were discussed and provided to the applicants: -Title Regulations on Short-Term Residential Therapeutic Programs (STRTPs) - Continuing Requirements (General Licensing Requirements) - Buildings and Grounds requirements - Personnel Records (forms) - Client Records (forms) - Reporting Requirements - Other administrative forms The provider was also briefed about the importance of incident reporting and client education. Prior to being licensed the following are still pending: -Administrator needs to request and be approved for an Exception. -Administrator/Staff need to be associated to the facility. -Facility will address Technical Advisories issued on this date. -Facility states that it may construct a separate Mental Health office on site in garage at a later date. LPAs will conduct a final review once the requested documents are submitted. Once manager approval and all requirements are met, a new license will be mailed to STRTP upon approval. An exit interview was conducted, and signed copies of licensing forms were provided to applicants .

met_with: Dana Maxie, CEO


summary: Facility Evaluation

raw_content:
Narrative:
On October 22, 2025, at 09:30 a.m., Licensing Program Analysts (LPAs) Gilbert Gutierrez and John Bonilla conducted an announced prelicensing inspection at DIVE Opportunities STRTP. The purpose of the inspection was to follow up on technical advisories provided to the facility during the original walk-through conducted on September 29, 2025. LPAs met with Ebony Maxie, Administrator. LPAs observed water temperature regulated to 115.7 degrees Fahrenheit. LPAs observed the access door to the facility's air conditioning unit was made inaccessible, secured with a lock. LPAs observed a small refrigerator for storing refrigerated medications. LPAs observed lock boxes for storage of contraceptives. LPAs observed replacement of non functioning carbon monoxide detector in the kitchen. LPAs observed that facility has obtained an ironing board and iron. LPAs observed that the first aid kit contains a thermometer. LPAs observed replacement of stove top knobs. LPAs observed repairs to window blinds in bedrooms 1 and 3, the removal of a wall mount in bedroom 1, a broken cabinet in garage removed, curtains installed in staff office ensuring availability of privacy from backyard, and that holes in the backyard lawn were filled in. LPAs advised licensee to address a small leak in patio roof, and removal of loose tree roots in backyard. Licensee was also advised to ensure all persons listed on LIC500 personnel report are fingerprinted, associated and cleared on Guardian. Licensee will submit photos to LPA via email by October 29, 2025. Once licensee has submitted proof of completion of advisories, the application will be submitted for approval and issuance of a license once final reviews of all documents are completed. Exit interview conducted. A signed copy of this licensing report was provided to Ebony Maxie, Administrator.

met_with: Ebony Maxie, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2026, at 09:30 a.m., Licensing Program Analysts (LPAs) John Bonilla and Amber Hunter conducted an unannounced Post Licensing inspection at DIVE Opportunities, a Short-Term Residential Therapeutic Program (STRTP). The facility currently has a provisional STRTP license. The STRTP's Mental Health Program Application is pending approval. This STRTP is licensed to serve up to six (6) ambulatory children ages 12-17 years of age. The facility also provides services to non-minor dependents pursuant to W&I Code 16501.1 (C)(1). There are no clients currently in placement. This facility is a one story, three (3) bedroom home with two (2) bathrooms (one for clients, one for staff), and an office. There are no firearms or ammunition in the facility. At 10:00 a.m., LPAs conducted a walk-through of the entire facility. One facility staff was interviewed. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week; due to no clients in placement, the facility does not have perishable food at this time. Medications will be centrally stored in a locked storage room in the office. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguishers were fully charged. A First Aid kit is available. Room temperatures are maintained between 68 and 85 degrees F. The hot water temperature was tested and measured at 117.6 degrees F. All sinks, showers and toilets are in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. (Continued...) Operations The facility has a current and updated Plan of Operation and Program Statement (PoO/PS). The facility has a fire clearance. The facility has complaint and grievance procedures posted in a prominent location. Disaster Preparedness and Emergency Intervention The facility has the Emergency Disaster Plan posted at the facility with the phone numbers and e-mails. The facility was able to provide their emergency drill binder to include drills for fire and earthquake. The facility was issued two technical advisories during this inspection. Please see LIC9102-TA pages. A signed copy of this report and LIC9102-TAs were provided to Ebony Maxie. Exit interview conducted. Appeal Rights provided.


facility_name: DN ASSOCIATES- BLYTHE

summary: Facility Evaluation

raw_content:
Narrative:
On 09/27/2021, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 1:00PM. During the inspection, LPA met with Veronica Manzo, Administrator and Brian Land, Child Care Counselor II and inspected the facility inside and out. LPA reviewed four children's records and reviewed two staff personnel records for the facility at 1:00PM. A medication count was conducted at 2:30PM. LPA interviewed two staff via at 3:00PM. LPA did not interview any children in the home as there are no dependents in placement at this time. No deficiencies to be cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator at 3:30PM. LPA provided the summary report to Veronica Manzo, Administrator upon completion.

met_with: Veronica Manzo


summary: Facility Evaluation

raw_content:
Narrative:
On 07/26/2022, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 9:45AM. During the inspection, LPA met with Veronica Manzo, Administrator and Brian Land, Child Care Counselor II and inspected the facility inside and out. LPA reviewed five children's records and reviewed two staff personnel records for the facility at 10:00AM. LPA conducted a medication count at 10:45AM. LPA interviewed two staff at 11:30AM. LPA did not interview any children in the home as there are no dependents in placement at this time. No deficiencies to be cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator at 12:30PM. LPA provided the summary report to Veronica Manzo, Administrator upon completion.

met_with: Veronica Manzo, Brian Land


summary: Facility Evaluation

raw_content:
Narrative:
On 08/24/22, Licensing Program Analyst (LPA) Lisa Slusher conducted an unannounced annual inspection following a pre-visit Covid Assessment. Met at the facility by Facility Manager Victor Lockett. 1. Facility Grounds were inspected and generally free from Hazard. 2. Outdoor space observed. Facility has a pool, which is locked and meets fencing requirements. 3. Chemicals were stored in locked closets/cabinets. 4. Locked and centrally stored medications were observed on this date 5. First aid kit complete with appropriate manual was present upon inspection. 6. Adequate storage space observed. 7. Individual beds in good repair observed. One mattress cover is being replaced due to a tear, but client is not present in the room. 8. The house has 5 bedrooms, double occupancy, all located on one single level. Bedrooms are accommodating of all required furnishings 9. Adequate food storage space observed. 2 days of perishable foods and 7 days of non-perishable foods observed 10. Weekly menu observed 11. Dining room observed. Table and benches provide seating for 6 youth. 12.Facility has two full restrooms, both for client use. Water temperature was within the regulatory range. 13. Licensee has a vehicle for use at the facility. insurance and registration are both current. Client files (5) were reviewed. Agency will forward LIC 308, 309, 500, Current Accreditation certification, current mental health certificate. Annual Inspection to be continued at a later date.

met_with: Victor Lockett, Veronica Manzo


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA (Licensing Program Analyst) Lisa Slusher continued an annual inspection for the above facility. LPA reviewed personnel records, including training records. Prior to this inspection, LPA reviewed Personnel Report and Criminal Record Clearance Information for the above facilities. According to documentation reviewed, Facility is meeting regulatory staff/child ratios. All staff are fingerprint cleared or have current exemptions on file and are associated to the facility in which they work. Agency has current Mental Health Program Approval through Fresno County Department of Behavioral Health. MHPA is current through 1/27/23. Agency is accredited by CARF and accreditation is current and expires June 30 2025. LPA Reviewed 14 personnel records. All staff have current Emergency Intervention, First Aid/CPR and Water Safety Certificates.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, LPA L Slusher conducted an announced case management with DN Associates-Blythe. LPA met with Veronica Manzo and Jennifer Preston via an online format. The purpose was to review the agency's incident report forms, for routine incidents and then incidents specific to the use of Manual restraints and those involving law enforcement contact. LPA Provided information on requirements for reports as well as Provider information notice 23-02 discussing the new LIC 624-LE specifying new information required for law enforcement incident reports. LPA also provided information regarding an upcoming Guardian Webinar


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian on July 28, 2023 at 1:00PM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 2 staff personnel files on site at the facility. The facility did not have any dependents in placement at this time. LPA reviewed 0 child's psychotropic medications and medication records as the facility did not have any dependents in placement at this time. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 0 children on site. LPA provided a copy of the licensing report to Administrator, Veronica Manzo. No deficiencies are being cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator.

met_with: Veronica Manzo; Jennifer Preston


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian on June 14, 2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 2 staff personnel files on site at the facility. There were no dependents in placement at this time. LPA reviewed 0 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently psychotropic medication as there are no dependents in placement at this time. LPA provided a copy of the licensing report to Administrator, Veronica Manzo. No deficiencies are being cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator.


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analysts (LPAS) Lisa Slusher and Danny Macias travelled to the facility listed above to conduct an Annual Inspection. Met at the facility at 8:30 am by Supervisor Victor Lockett. Two additional staff members and 6 clients present upon inspection. A physical plant inspection was conducted with Victor Lockett. The facility has current Mental Health Program Approval through Fresno County expiring in January 2025. The facility is accredited through CARF and their accreditation expires June 30, 2025. 1. Facility Grounds are clean and free of debris or observable hazard. Facility pool is appropriately fenced and maintained. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Licensee has made provisions for contraceptives to be held in individually locked containers by clients. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 5 bedrooms, a mixture of single and double occupancy all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use, both are operable 13. Facility has no animals or firearms At 1: LPAs were met at the corporate office by Annette, office manager, to review Personnel files. Five personnel files were reviewed, and criminal record clearances were verified for all staff listed on the LIC 500 dated 7/15/2024. LPA requests the following updated forms/items: LIC 308, Designation of facility responsibility; LIC 309, Administrative Organization; LIC 400, Affadavit regarding client cash resources; LIC 500, personnel report; LIC 610, Emergency Disaster plan; LIC 9020, client roster; current lease agreement/control of property

met_with: Veronica Manzo, Victor Lockett, Annette Robles


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Reyna Martinez on August 6, 2025 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 2 staff personnel files on site at the facility. There were no dependents in placement at this time. LPA reviewed 0 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently psychotropic medication as there are no dependents in placement at this time. LPA provided a copy of the licensing report to Administrator, Veronica Manzo. No deficiencies are being cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator.


facility_name: DN ASSOCIATES- POLK

summary: Complaint Investigation - Unsubstantiated

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Investigation Findings:
13On 08/29/2022, Licensing Program Analyst (LPA) Tamara Melikian conducted a complaint inspection for DN Associates-Polk for the purpose of delivering the findings for the above complaint allegation. Met by Administrator Curtis Donovan. Based on confidential interviews and documents obtained, a restraint did occur that resulted in bruising, however it was not at inappropriate restraint. Therefore, the allegation is unsubstantiated. There are no deficiencies to be cited on this date. Exit interview conducted and a copy of the report was left with the Administrator. Computer malufunction during follow up inspection, unable to capture signature. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lourey Bartolome LICENSING EVALUATOR NAME: Tamara Melikian 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

met_with: Curtis Donovan


summary: Facility Evaluation

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Narrative:
On 10/25/2021, an unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at 9:00AM. During the inspection, LPA met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed six children's records at 9:00AM and conducted a medication count. LPA reviewed two staff personnel files and training records and documentation at 10:30AM. A review of staff records on 10/25/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPA interviewed two staff in the facility at 11:00AM. LPA interviewed one child in the home at 11:30AM. The remainder of the children were not dependents or were non-minor dependents. No deficiencies to be cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator at 12:00PM. LPA provided the summary report to Veronica Manzo, Administrator upon completion of the inspection.


summary: Facility Evaluation

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Narrative:
On the above date, LPA (Licensing Program Analyst) Lisa Slusher conducted an annual inspection for the above facility. LPA reviewed personnel records, including training records. Met with Curtis Donovan. Prior to this inspection, LPA reviewed Personnel Report and Criminal Record Clearance Information for the above facilities. According to documentation reviewed, Facility is meeting regulatory staff/child ratios. All staff are fingerprint cleared or have current exemptions on file and are associated to the facility in which they work. Agency has current Mental Health Program Approval through Fresno County Department of Behavioral Health. MHPA is current through 1/27/23 . Agency is accredited by CARF and accreditation is current and expires 6/30/ LPA Reviewed 14 personnel records. All staff have current Emergency Intervention, First Aid/CPR and Water Safety Certificates.


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian at on 10/26/2022 at 1:00PM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Melikian met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 1 child's records and 2 staff personnel files on site at the facility. LPA reviewed 1 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA did not interview any children currently prescribed psychotropic medication as the child is a non minor dependent. LPA provided a copy of this licensing report to Veronica Manzo, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator.


summary: Facility Evaluation

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Narrative:
On the above date, LPA conducted a case management inspection at the potential office space for DN Associates. LPA observed office space and discussed agency operations.


summary: Facility Evaluation

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Narrative:
On the above date, LPA L Slusher conducted an announced case management with DN Associates- Polk. LPA met with Veronica Manzo and Jennifer Preston via an online format. The purpose was to review the agency's incident report forms, for routine incidents and then incidents specific to the use of Manual restraints and those involving law enforcement contact. LPA Provided information on requirements for reports as well as Provider information notice 23-02 discussing the new LIC 624-LE specifying new information required for law enforcement incident reports. LPA also provided information regarding an upcoming Guardian Webinar

met_with: Jennifer Preston, Veronica Manzo


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Tamara Melikian on October 19, 2023 at 11:00AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 1 child's records and 2 staff personnel files on site at the facility. LPA reviewed 1 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed 1 child on site. LPA provided a copy of the licensing report to Administrator, Veronica Manzo. No deficiencies are being cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator.


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analysts (LPAS) Lisa Slusher and Danny Macias conducted an Annual Inspection. Met at the facility by Supervisor Victor Lockett. Two additional staff members and 6 clients present upon inspection. . The facility has current Mental Health Program Approval through Fresno County expiring in January 2025. The facility is accredited through CARF and their accreditation expires June 30, 2025. Client (five) and Staff files reviewed on this date. At 1: LPAs were met at the corporate office by Annette, office manager, to review Personnel files. Five personnel files were reviewed, and criminal record clearances were verified for all staff listed on the LIC 500 dated 7/15/2024. A case management- Annual Continuation inspection will be required. No deficiencies noted in areas observed on this date. LPA requests the following updated forms/items: LIC 308, Designation of facility responsibility; LIC 309, Administrative Organization; LIC 400, Affadavit regarding client cash resources; LIC 500, personnel report; LIC 610, Emergency Disaster plan; LIC 9020, client roster; current lease agreement/control of property

met_with: Veronica Manzo, Annette Robles


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analyst (LPAS) Lisa Slusher travelled to the facility listed above to conduct an Annual Inspection. Met at the facility at 12:15 pm by Supervisor Victor Lockett and Administrator Veronica Manzo and Lorenzo Rodriguez. Four additional staff members and 6 clients present upon inspection. A physical plant inspection was conducted with Victor Lockett. LPA conducted two client and staff interviews on this date. 1. Facility Grounds are clean and free of debris or observable hazard. Facility pool is appropriately fenced and maintained. 2. Adequate indoor and outdoor activity space and materials observed. 3. Chemicals appropriately locked. 4. Locked and centrally stored medications observed. Licensee has made provisions for contraceptives to be held in individually locked containers by clients. Observed medication logs and discussed procedures for psychotropic medications. 5. First aid kit complete with appropriate manual observed. 6. Adequate storage space observed. 7. Individual beds in good repair observed. 8. The house has 4 bedrooms, a mixture of single and double occupancy all located on one single level. Bedrooms are accommodating of all required furnishings. 9. Adequate food storage space observed. Supply of two days of perishable foods and a week of nonperishable foods observed upon inspection. 10. Weekly menu posted and accessible to clients. 11.Dining room equipped with large table and chairs accommodating of all clients. 12.Facility has two full restrooms in the house for client use, both are operable 13. Facility has no animals or firearms

met_with: Veronica Manzo,


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Reyna Martinez and Briana Placencia on November 13, 2024 at 10: AM. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPAs met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 2 staff personnel files on site at the facility. There were no dependents in placement at this time that meet review qualifications. LPAs reviewed 0 child's psychotropic medications and medication records. LPAs interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed no children currently psychotropic medication as there are no dependents in placement at this time that meet review qualifications. LPAs provided a copy of the licensing report to Administrator, Veronica Manzo. No deficiencies are being cited at this time. LPAs conducted exit interview with Veronica Manzo, Administrator.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Danny Macias (LPA) traveled to DN Associates Polk and met with Administrator (PM) Veronica Manzo to conduct a Case Management Inspection related to an incident report dated 5-24-25. LPA discussed restraint regulations and procedures with PM. No deficiencies noted on this visit. An exit interview was conducted and a copy of this report was left with Veronica Manzo.


summary: Facility Evaluation

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Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Briana Placencia on July 9, 2025 at 10:30am. This case management inspection is conducted pursuant to Health and Safety Code 1538.9(a)(2). During the inspection, LPA met with Veronica Manzo, Administrator and inspected the facility inside and out. LPA reviewed 0 child's records and 2 staff personnel files on site at the facility. There were no dependents in placement at this time that meet review qualifications. LPA reviewed 0 child's psychotropic medications and medication records. LPA interviewed 2 staff on site to discuss the facilities policies and procedures of operation. LPA interviewed no children currently psychotropic medication as there are no dependents in placement at this time that meet review qualifications. LPA provided a copy of the licensing report to Administrator, Veronica Manzo. No deficiencies are being cited at this time. LPA conducted exit interview with Veronica Manzo, Administrator.


summary: Facility Evaluation


summary: Facility Evaluation

raw_content:
Narrative:
On September 8, 2025, Licensing Program Analyst Danny Macias (LPA) traveled to DN Associates Polk and met with Administrator (AD) Veronica Manzo to conduct a Case Management Inspection related to an incident report dated 7-6-25 (Control # 0001952-FN.) LPA discussed restraint regulations, procedures and treatment planning for client with AD. (see 812) No deficiencies noted on this visit. An exit interview was conducted and a copy of this report was left with Veronica Manzo.