summary: Facility Evaluation

raw_content:
Narrative:
On 01/18/2022 at 10am, Licensing Program Analyst (LPA), Bernice Karnsrithong arrived at Dimondale Adolescent Care Facility #4 for the purpose of conducting an annual inspection. LPA Karnsrithong met with Administrator, Samone Kelly who provided access and tour to the facility. The facility is licensed to provide care and supervision up to six (6) clients ages twelve (12) to seventeen (17) and non minor dependents. The facility is located in a residential area. The facility conducts Covid-19 checks upon entering. A staff member checks in guests and residents upon entrance. LPA Karnsrithong reviewed two (2) staff files and interviewed (2) two staff during the inspection. LPA Karnsrithong has observed (1) one operating fire extinguisher located in the kitchen and (1) fire alarm in the living room and (2) two carbon monoxide detectors in the hallways. There are 2 (two) direct care staff for each shift. Therapist comes in from 12pm to 8pm and Activity Coordinators comes in from 1:30pm to 11:30pm. Facility Supervisor shift is from 12pm to 8pm, Mondays thru Fridays. The facility ratio is (3) three staff to (6) children. CARF Accreditation for the facility is valid until October 31, 2023. First Aid kit is available at the office and at the facility vehicle. LPA Karnsrithong interviewed (1) one client during the visit. During the inspection LPA Karnsrithong has observed the following: Office Room: There are three (3) desks and a computer, chairs and locked cabinets. The office room is located next to the front door. Clients are not permitted to use the office unless a staff is present. All facility logs are in the office room. (Medication, Facility Disinfecting Schedule, Meal Counts, Maintenance Logs, Activity Log, Disaster Drills, Shift Exchange Log, and Temperature Logs) The medication is kept locked in the staff office and only staff have access to the medications. Licensing postings are posted in the office room (i.e. Administrator Certification, Mental Health Certification, Emergency Disaster Plan).Disinfecting and cleaning supplies are stored and locked in the office room. Contraceptives are stored in the office room but is available for clients when needed. Child Family Team (CFT) meetings are typically held in the office. (Page 1 of 3) Bedrooms: There are (3) three rooms in the facility. All rooms are occupied by clients. There are (2) two twin size beds, adequate drawer space, closet and lighting. There is ample space for clients to store their personal belongings in their rooms and all bedroom furniture are in good working condition. Hallway: Bill of Rights and House Client Schedules are posted in the hallway. There is a desk and a table for clients to do schoolwork if needed. Living Room/Common Room: The living room is located directly in front of the entry way. There are (2) two sofas, an office desk, (1) one desk chair and a television. The desk is to be used by both clients and staff as needed. There is a bookshelf with books for clients to use as well. Clients chore list is also posted in the living room. Bathrooms: There are (2) two bathrooms. One bathroom is dedicated for staff and one for clients. Both bathrooms have a working shower, toilet, and sink. Both bathrooms are kept clean and in sanitary and in good working condition. Clients may use the staff bathroom if needed. Due to Covid, the staff bathroom is kept open for clients to use. Kitchen: There is a long dining table with chairs. There is a stove/oven with five (5) burners and center grill and is in good working condition at the time of the inspection. There is refrigerator which contains ample perishable food supplies for clients. There is a microwave and a toaster. There are (2) two cabinets being used as a pantry for non-perishable food items. The trash can has a tight lid on. There are utensils, plates and cookware also stored in the kitchen for clients and staff to use. Menu are posted in the refrigerator. There is (1) one working fire extinguisher in the kitchen. Kitchen is scheduled to be remodeled by this week. Therapy Room: There is a private office space located in the backyard. This room is used for therapeutic services for clients. In house Therapy services are provided from 12pm to 8pm from Mondays to Fridays. Private meetings are also held in the therapy room if needed. (Page 2 of 3) Outside Area: The backyard is fenced in and gated. There is an outdoor patio furniture with table and chairs located in the backyard. There are sports equipment that is also used by clients. There is a garden that is well maintained. The utility shut off valves are located in the side of the house. Clients have access to safe outdoor activity safe at all times. All passageways and stairs are unobstructed and free of any debris. Laundry Room: There is a laundry room located at the end of the hallway. This room has a washer and a dryer for clients to use. There is cabinet storage for laundry supplies and linens for clients. The laundry room is kept locked when not in use. Staff supervises clients when they are using the laundry room. Facility Vehicle: The facility has (1) one SUV vehicle that is parked in the facility when not in use. The facility vehicle is in good working condition. A first aid kit and tool kit are also stored in the facility vehicle. Staff utilizes the facility vehicle to transport clients to school, court and medical appointments. There were no deficiencies cited at this time. Exit interview was conducted with the Facility Supervisor and a copy of the report will be emailed to the facility.

visit_type: Annual

met_with: Administrator


state: CA

facility_name: DIMONDALE ADOLESCENT CARE FACILITY #4

summary: Facility Evaluation

raw_content:
Narrative:
On 05/09/2022 at 12pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a Case Management-Incident that occurred on May 01, 2022. A self-reported incident was submitted by the facility regarding an inappropriate sexual behavior. LPA Karnsrithong met with Rashanda Stuart, Direct Care Staff/Medical Coordinator who granted access to the facility. Health and safety risk assessment were conducted upon arriving at the facility. The current census in the facility is six (6) and there are four (4) staff present during the visit. LPA Karnsrithong has conducted confidential interviews and reviewed three (3) client files. Not all parties were available at the time of the visit. Due to insufficient information obtain during the visit, this Case Management-Incident needs further investigation. There are no deficiencies cited at this time. Exit interview was conducted with Rashanda Stuart and a copy of this report is provided to the facility.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Manuel Virgil, Facility Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On 05/09/2022 at 12pm, Licensing Program Analyst (LPA) Bernice Karnsrithong arrived at the facility for the purpose of conducting a Case Management-Incident that occurred on April 27, 2022 . This inappropriate sexual behavior was reported as a Special Incident Report (SIR) on April 27, 2022 at 12:59pm. LPA Karnsrithong met with Rashanda Stuart, Direct Care Staff/Medical Coordinator who granted access to the facility. Health and safety risk assessment were conducted upon arriving at the facility. The current census in the facility is six (6) and there are four (4) staff present during the visit. LPA Karnsrithong has conducted confidential interviews and reviewed three (3) client files. Not all parties were available at the time of the visit. Due to insufficient information obtain during the visit, this Case Management-Incident needs further investigation. There are no deficiencies cited at this time. Exit interview was conducted with Rashanda Stuart and a copy of this report is provided to the facility.

met_with: Rashanda Stuart, Direct Care Staff/Med Coordinator


summary: Facility Evaluation

raw_content:
Narrative:
On May 13, 2022 at 4: PM, Regina Martin, Licensing Program Analyst (LPA) made an unannounced visit at Dimondale Adolescent Care Facility #4 for the purpose of interviewing youth resident #1 (C1). LPA met with Samone Kelly, Facility Administrator and was informed C1 was not present as youth was currently on an unauthorized absence as youth had not returned from a day pass the day prior. LPA verified date of placement and incident reports filed.

met_with: Samone Kelly, Administrator


facility_name: DIMONDALE ADOLESCENT CARE FACILITY #6

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Child #2 denied the allegation. Child #2 resided at the facility for a total of two days. Staff indicated that room checks were completed every 15 minutes throughout the night for all residents. There were no witnesses or documentary evidence to support that the allegation occurred. Due to a lack of evidence it has been determined that the allegation is Unsubstantiated at this time meaning, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or disprove that a violation occurred. There were no deficiencies cited during the investigation. Exit interview conducted. A copy of this report and appeal rights will be emailed to Facility Administrator.

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:

report_type: Complaint Investigation

visit_type: Complaint Investigation

met_with: Leroy Wise, Facility Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13LPA Jones-Steward conducted a subsequent visit regarding this allegation. LPA interviewed Client #1 and Client #3. Both clients deny that they have seen any staff person smokiing any substances. They also denied being offered any such substances. The original complainant declined to provide any identifying information. Based on interviews with staff and clients, as well as inability to interview the original complainant(s), the above 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 3

met_with: Laura Hartney, Facility Manager


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward met with Mr. Reyna to verify that the home has working air conditiong. LPA observed two AC units in the living room and one in each bedroom. LPA observed the temperature in the home to be at a cool temperature. Based on the observations made on August 24, 2022, the above allegation is substantiated. However based on the observations made today, the violation is corrected. 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 CCLD Regional Office, N. Continental Blvd. #290B FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #6FACILITY NUMBER: 198209250

met_with: Mr. Octavio Reyna, Facility Manager

complaint_status: SUBSTANTIATED


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward visited the facility to further investigate the allegation. LPA interviewed administrator Leroy Wise who denied that staff and clients smoke in the facility. He stated that C1 and C2 had past smoking behaviors but they never smoked at the facility and have since overcome the problem. LPA also interviewed C1 and C2. Both denied that the allegations were true. LPA also reviewed the Monthly assessments for both C1 and C2. Nothing in the assessments supports the allegations. The original complainant was anonymous and could not be interviewed. Based on interviews with staff and clients, records review, as well as inability to interview the original complainant(s), the above 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 3

met_with: Leroy Wise, administrator


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the above allegation. LPA interviewed the complainant, two staff members and C2. C1 could not be reached. LPA also reviewed intake agreements and initial Needs & Services Plans for C1 & C2. Based on the investigation, it was determined that in the past Dimondale 6 did not provide adequate transportation to clients' school of origin but rather provided Metro Transit passes so that clients could reach their schools using public transportation. This does not satisfy Title 22 regulations regarding transportation of clients. The licensee was cited under Title Section 87074(c) and 87074(f) 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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #6FACILITY NUMBER: 198209250


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the allegation that a staff member has an inapproproate reationship with a minor. During the course of the investigation, LPA interviewed C1, S1, S2, the LA County social worker for C1 and school personnel. Based on the information that LPA was able to obtain, S1 did have an inappropriate relationship with C1 by mainitaining contact with him while he was on unauthorized absence from the facility and posing as his mother to try to enroll him in school. The management of Dimondale conducted an internal investigation into the matter, determined that S1 violated protocol and terminated her employment on May 2, 2025. Based on the available evidence the allegation that staff had an inppropriate relationship with a client is substantiated. Substantiated means that there is a preponderence of evidence that the allegation is true. The licensee was cited under HSC 1569.58 (a)(2) 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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #6FACILITY NUMBER: 198209250

met_with: Leroy Wise, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Ms. Hartney to conduct the Required Year Inspection The inspection began at 9: AM and the following was observed: This is a three bedroom two bathroom home located in a residential section of the City of Gardena, CA.. There are currently six clients in residence. There are no bodies of water and no security bars on windows. Yard area is free of hazards. Smoke detectors are working and placed in the bedrooms and hallways. There is a working carbon monoxide detector in the hallway.. In addition there is a fire pull station. Fire extinguisher is fully charged. There are three bedrooms with two twin beds each. Each bed has linens in good condition. Each bedroom has closet space and storage for two clients. Each bedroom has functioning windows. Kitchen and bathroom equipment is in good working order. However all knobs have been removed from the stove due to confidential safety issues Water temperature was outside the safe range. There is enough food to meet Title 22 requirements. All knives, household cleaners and medications are stored in accordance with Title 22 regulations. There is a complete first aid kit in the home. Client records were reviewed and found to be complete. The following items were posted and current: Menu, Floor Plan, Emergency Disaster Plan, Employee Work Schedule, Client Roster, Notice of Personal Rights. Staff files will be reviewed at a later date. Staff and client interviews will also be conducted at a later date There were no deficiencies cited on this dater


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Facility Manager Laura Hartney to review staff records as part of the annual inspection. A total of 5 files were reviewed and two staff were interviewed. There were 3 clients present, but two declined to be interviewed. Staff files were complete. There was evidence of the required staff training. There were no deficiencies cited as a result of staff file review. LPA advised the administrator Mr. Wise to offer training on the Program Statement to the staff .

met_with: Laura Hartney/Leroy Wise


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited the facility to deliver an amended 9099-D regarding complaint # 34-CR-20250903091847. LPA also interviewed staff regarding complaint # 34-CR-20251013155000


raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward investigated the allegation that staff of Dimondale 6 did not prevent C1 from having access to a firearm. LPA worked with social worker Claudia Terrero and probation officer Ruben Romero. LPA personally interviewed three staff and three clients. LPA was not able to contact C1 and therefore relied on the interview conducted by social worker Terrero. All staff and clients interviewed by LPA Jones-Steward denied awareness that there was a handgun rumored to be hidden in the facility. However C1 remained adamant that staff were made aware of the possibility and did not investigate. C1 provided an inconsistent narrative to the social worker and to the Gardena Police Department. The administrator, Leroy Wise, provided photographic evidence that the stairwell where the handgun was reportedly hidden has been repaired. The DCFS Emergency Response Team did not conduct an investigation and the resultant court case was dismissed because the Gardena PD did not file the citation. Based on the available evidence and information, the allegation that staff did not prevent client from having access to a firearm is resolved as unsubstantiated. An unsubstantiated finding means that although an allegation my have occurred, there is insufficient evidence to prove that it did occur. 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: Jameeka Thomas, Facility Supervisor


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13Licensing Program Analyst Connie Jones-Steward met with Facility Supervisor Jameeka Thomas to discuss the allegations that staff was under the influence while on duty, staff did not properly report the incident and staff spoke inappropriately to client. During the course of the investigation LPA Jones-Steward spoke with several staff members, the client who was the victim, and the alleged perpetrator. LPA also reviewed screenshots of text messages and the SIR that was submitted by the administrator. The reviews and interviews revealed that the alleged perpetrator did arrive to work while under the influence of alcohol and that the administrator failed to note the intoxication in the incident report. It was also determined that the alleged perpetrator did speak inappropriately to at least one client. Based on the available evidence, all allegations were substantiated, meaning that there is a preponderance of evidence that they did occur. The facility was cited under Title 22 sections 80061(b)(1)(E), 87072(c)(1), and 87065.2(b)(1). The report was signed by Shawn Leos as Ms. Thomas had to take clients to school. Copies of the report were emailed to Mr. Leroy Wise, Ms. Julie Gonzalez-Garcia and Mr. Kenneth Fleming. 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 FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY #6FACILITY NUMBER: 198209250


facility_name: DIMONDALE ADOLESCENT #7

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has decided that the allegation of Neglect/Lack of Supervision is unsubstantiated but if any additional information is received this complaint can be amended and finding can be changed. There were no deficiencies cited PER California Code Regulation, TITLE 22, DIVISION 6, CHAPTERS 1, General Licensing Regulations, and Short Term Residential Therapeutic Program (STRTP) Interim Licensing Standards (ILS). Exit interview was conducted and a copy of this report was left with the lead staff of the facility whose signature on this form confirm receipt of this document.

Investigation Findings:
13On 7/29/2021, at 6:45pm Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced inspection to the above facility, for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA spoke with the facility the lead staff Jamie Douglas Staff #1 (S1), and together discussed the investigation details. During confidential interviews with staff and clients, they corroborated that no one was touching anyone inappropriately or saying inappropriate things to any of the clients. C1 had conflicting statements saying that none of the clients touched him inappropriately or said inappropriate things to him at the facility. C1 said that he feels safe living in the facility even though C2 came to his room uninvited, but C1 doesn't remember what C2 said to C1, the only thing C1 remembers it was inappropriate. C2 stated that he has not touched any of the clients inappropriately and when he went to C1's room it was just to chat. The facility staff who were present during the incident between C1 and C2, said that C1 didn't tell them that C2 had said or done anything inappropriate. Facility clients confirmed that the facility is always supervising them and that they feel safe in the facility. Additionally, SW1 sent an email to DCFS stating that SW1 has no concerns about the facility. SW1 stated that the facility moved C1 to its other facility to relieve some of the stresses between C1 and C2. It appears that the facility has done the best it can with all the clients in the facility. Continue on LIC9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT #7FACILITY NUMBER: VISIT DATE: 07/29/2021

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

met_with: Staff #1


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

raw_content:
Narrative:
There was no evidence that Staff spoke inappropriately to children in care. LPA interviewed clients not named in the allegations. Client and staff interviews did not produce evidence of staff speaking inappropriately. There was no evidence that staff do not ensure that children are adequately fed. LPA did a visual account of the food supply interviewed the staff and clients. The food supply was within regulation and the interviews did not produce evidence for the allegation. There was no evidence staff do not keep the facility clean and sanitary. Upon arrival the facility was being repaired due to major property destruction by a client. LPA was unable to determine the cleanliness of the facility. Client and staff interviews did not produce evidence for the allegation. There was no evidence staff do not ensure that children have clean laundry. The washing machine was broken at one point but interviews stated that they were taken to the laundry twice a week until the machine was repaired. There was no evidence staff did not keep the facility free of pest. LPA did a walk through of the home and was provided a receipt from the exterminator visit. Although the allegations may have happened or are 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. REPORT AMENDED TO CORRECT DEFICIENCY LANGUAGE Facility cited for violation of California Code of Regulations, Title Division Six, Personal Rights 80072 (3). S1 used threatening language towards C1. A copy of this report and appeal rights has been left with Administrator, Sky Hall.

Investigation Findings:
13On July 16, 2024 at 12pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of delivering findings for the above complaint allegations. LPA met with Administrator, Sky Hall and was allowed into the facility. During the course of investigation the allegations for Staff spoke inappropriately to children in care , Staff do not ensure that children are adequately fed, Staff do not keep the facility clean and sanitary, Staff do not ensure that children have clean laundry and staff did not keep the facility free of pests 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. 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 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 #7FACILITY NUMBER: VISIT DATE: 07/16/2024

Deficiencies:
80072: interference with the daily living functions...1
2
3
4
5
6
7Licensee is required to admnister training for statff regarding clients personal rights by August 16, 2024
8
9
10
11
12
13
14

met_with: Sky Hall-Administrator

title: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to


summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
Interviews and compliance meeting proved that facility staff did not seek timely medical attention for minor. Minor was found by Staff #1 unresponsive. Staff #1 was able to get Child #1 up after time passed, cleaned him up and sent him back to bed with no medical attention. Child #1 was found the following morning unresponsive again and had to have two doses of Narcan administered due to an overdose. Interviews and compliance meeting also proved that facility staff abandoned minor at hospital. Child #1 was taken to the hospital by ambulance and after being treated, was left to return back to the facility with his Biological mother. Facility cited for violation of California Code of Regulations, Title Division Six 87075(d) Health Related Services (d) In addition to the care and services specified in the above Section (a), the licensee shall ensure that each child receives all necessary health-related services defined in Section 87001(h)(3), including substance use disorder services. Facility is cited for violation of California Code of Regulations, Title Division Six 80078(a) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs. A copy of this report will be left with Administrator, Hector Cortes.

Investigation Findings:
13On July 24, 2025 at 12pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility to conduct a follow-up complaint inspection. The purpose of the visit is to deliver findings for the above complaint allegations. LPA met with Assistant Clinical Director, Kim Rowerdink and was allowed into the facility. During the course of investigating the allegations, LPA conducted interviews, collected documentation and attended court compliance meetings involving Community Care Licensing, Department of Children and Family Services (DCFS) and the facility Board of Director staff to discuss the status of the home moving forward. The interviews, documentation and compliance meetings determined that facility staff did not seek timely medical attention for minor and facility staff abandoned minor at hospital. SubstantiatedEstimated 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 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 #7FACILITY NUMBER: VISIT DATE: 07/24/2025

met_with: Kim Rowerdink-Assistant Clinical Director


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2022 at 2pm Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required facility inspection. LPA met with Supervisor, Lolita Fuller and conducted and inspection inside and outside of the facility. The facility is licensed to care for 6 children ages 12-17 years, Ambulatory only. The facility also provides services to Non-Minor Dependents. This is a one-story home, located in a residential area, with three (3) bedrooms and two (2) bathrooms, living room, dining room, one staff offices, 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 was no swimming pool or bodies of water on the premises. Staff #1 stated that there are no weapons in the home. LPA observed the following: All bedrooms are furnished with sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows, all in good repair. Bedroom#1,2 & 3 all have two, dressers, two twin size beds & adequate closet and drawer space for two clients. There is a bathroom attached to bedroom 3 as well. It was clean and in order. LPA observed a carbon monoxide detector in the hallway area. There were two charged fire extinguishers. There are working smoke detectors in each bedroom. Facility was observed to be clean, safe, sanitary and in good repair. Passageways, stairways, incline ramps and open porches are unobstructed. Disinfectants, cleaning solutions, and poisons are inaccessible to clients. The front and backyards were clean and free of hazardous material. Continue on LIC809C LPA reviewed two staff files and two client files. All files were in order and contained all necessary documents. LPA interviewed two staff. LPA attempted to interview the client that was present but he refused to speak to LPA. Clients in care are supervised and protected at all times. Facility personnel instructed to report violations of personal rights. Personal Rights is posted inside the facility. Clients are not restricted in telephone use except by court order. Grievance procedure/ personal rights, menu, emergency disaster plan was posted. Medications are stored/ locked in the office inside a locked metal cabinet. Records for staff and clients are locked inside the office. Facility provides nutritious snacks between meals. Clients are accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients can contact the Licensing Agency or Foster Care Ombudsman person in confidence without threats or punishment for making complaints. Clients attend school, extracurricular, cultural, and personal enrichment activities. Facility records; client cash resources, personal property, and valuables forms are in their file. Client's records contain authorization for emergency medical care signed by each child's authorized representative. Client's records contain original needs and services plan signed by each child and their authorized representative. Overall facility was clean and in good condition. There were no deficiencies cited at the time of the visit.

met_with: Lolita Fuller-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem, conducted a case management inspection on 4/27/2022 at 9:42AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 10 out of Direct Care Staff and 5 out of 5 youth files were reviewed. 4 out of Direct Care Staff and 3 out of 5 youth were interviewed. (See the Confidential Names List, LIC 811, dated April 27th, 2022). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Sethany Yem observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to the Administrator Lolita Fuller.

met_with: Administrator Lolita Fuller


summary: Facility Evaluation

raw_content:
Narrative:
On October 19,2023 @ 10: AM Licensing Program Analyst (LPA) Zena Phillips made an announced visit for the purpose of conducting an interview with Child #1. LPA Phillips was greeted by Jamie Starleaf/ Supervisor who granted access and provided todays census. LPA Phillips advised Supervisor Starleaf complaint is for a different facility. An exit interview was conducted and report will be provided to Jamie Starleaf /Supervisor.

met_with: Grace Dixon/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 21, 2024 at 12pm Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required facility inspection. LPA met with Administrator, Sky Hall and conducted and inspection inside and outside of the facility. The facility is licensed to care for 6 children ages 12-17 years, Ambulatory only. The facility also provides services to Non-Minor Dependents. This is a one-story home, located in a residential area, with three (3) bedrooms and two (2) bathrooms, living room, dining room, one staff offices, 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 was no swimming pool or bodies of water on the premises. LPA observed the following: Bedroom 1 & 2 have two twin beds, a dresser and a closet with space for clothing for two clients. Bedroom 3 has two twin beds, a dresser and a closet with space for clothing for two clients. The room also has a full bathroom in good working condition. Bathroom #2 in the hallway that is clean and in good working condition. LPA observed a carbon monoxide detector in the hallway area. There were two charged fire extinguishers. There are working smoke detectors in each bedroom. Facility was observed to be clean, safe, sanitary and in good repair. Passageways, stairways, and open porches are unobstructed. Disinfectants, cleaning solutions, and poisons are in a locked closet and inaccessible to clients. Continue on LIC809C There is an additional therapy office in the facility used for therapy sessions. The front and backyards were clean and free of hazardous material. In the backyard there is a detached therapist room used for the clients therapy sessions. The shut off valve for the gas is in the backyard and the shut off valve for the water is in the front yard. The garage contains a freezer and refrigerator that contains more food for the clients consumption. The washer and dryer is also in the garage which is kept locked. Clients in care are supervised and protected at all times. Facility personnel instructed to report violations of personal rights. Personal Rights is posted inside the facility. Clients are not restricted in telephone use except by court order. Grievance procedure/ personal rights, menu, emergency disaster plan was posted. Medications are stored/ locked in the office inside a locked metal cabinet. Records for staff and clients are locked inside the office. Facility provides nutritious snacks between meals. Clients are accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients can contact the Licensing Agency or Foster Care Ombudsman person in confidence without threats or punishment for making complaints. Clients attend school, extracurricular, cultural, and personal enrichment activities. Facility records; client cash resources, personal property, and valuables forms are in their file. Client's records contain authorization for emergency medical care signed by each child's authorized representative. Client's records contain original needs and services plan signed by each child and their authorized representative. Overall facility was clean and in good condition. There were no deficiencies cited at the time of the visit.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with administrator Hector Cortes to follow-up on Special Incident Report #1403673. The SIR reported that C1 alleged that Staff #1 got in his face and started shouting obscenities. Per Mr. Cortes, the incident occurred on Saturday, Sept 13, 2025. The client stated that he told S1 that C3 had a pocket knife. S1 searched the C3 but found nothing, C1 called S1 a liar at which point she became angry and threatening to C1. Mr. Cortes said that he did not have a chance to speak to S1 because HR conducted the investigation and terminated S1 on the following Tuesday,. LPA interviewed C3. C1 & C2 declined to be interviewed. LPA will make contact with S1 and S2 at a later date. Mr. Cortes said that there were witnesses and a videotape, made by one of the clients, of the incident. LPA Jones-Steward requested a copy of the termination letter, the internal investigation and the video. Further investigation is needed at this point

met_with: Hector Cortes, administrator


facility_name: DIMONDALE ADOLESCENT #8

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
13On 7/20/2021, at 11: AM, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced inspection to the above facility, for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA spoke with the facility manager Darryl Theus, and together discussed the investigation details. Staff and clients confirmed that an unknown person entered the facility through the window and assaulted C1 in front of C2 and C3. C1 stated that an unknown person hit him and the only thing he could do was cover his head. During that time of the incident, clients and staff confirmed that S2 was doing paperwork in the office and arrived in the room after the unknown person had already left the facility. S1 was concerned that S2 did not hear anything and did not react earlier when the unknown individual entered the facility through the window. During LPA Hernandez's visit to the facility on 7/13/2021, S1 demonstrated to LPA how clearly the noise can be heard from the office. Based on LPA interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. A deficiency was cited to the facility for Neglect Lack of supervision. Exit interview was conducted and Plans of Corrections were reviewed and developed with the licensee. A copy of this report and appeal rights were discussed and left with the facility manager whose signature on this form confirm receipt of these documents. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT #8FACILITY NUMBER: 197690021

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

met_with: Facility Manager


raw_content:
Narrative:
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 4.0, there are no deficiencies to be cited at this time. Exit interview was conducted and a copy of this report was left with the lead staff of the facility whose signature on this form confirm receipt of this document.

Investigation Findings:
13On 11/09/2021, at 11:00am Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced inspection to the above facility, for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA spoke with the facility manager (FM) Darryl Theus, and together discussed the investigation details. During confidential interviews with staff and clients, they confirmed that they had not seen or heard staff hitting or insulting clients. Although C1 stated otherwise that had been hit by S4, and S5 wanted to fight C1, there was no corroboration from the confidential interviews. During confidential interviews clients stated that they feel safe in the facility and this was corroborated by C1. LPA was unable to interview the SW but during the interview with DCFS SW reported attempted to move C1 to another home, however, C1 refused to leave the facility and C1 never told SW of any abuse by staff members in the facility. SW denied observing any concerns during the visit to the facility. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Personal Rights are unsubstantiated but if any additional information is received this complaint can be amended and finding can be changed. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Enrique M Hernandez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT #8FACILITY NUMBER: VISIT DATE: 11/09/2021

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


raw_content:
Narrative:
Clients were also taken to additional outings to the movies, bowling and the arcade to keep them out of the warm house. The unit has been replaced and the home is at a temperature supported by the regulations. 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 May 2, 2025 at 2:30pm, Licensing Program Analyst (LPA) Donald Martin conducted a follow up complaint inspection. The purpose of this inspection was to deliver findings for the above complaint allegations. LPA was met by Administratior, Shenice Bah and allowed into the facility. During the investigation LPA conducted confidential interviews and reviewed documentary evidence. The interviews did not produce corroborating evidence to support allegations. Interviews revealed inconsistent statements and no witnesses to suggest allegations occurred. Although the air conditioner did break in the facility, maintenance has ordered a new unit and individual fans were purchased for each client in an attempt to temporarily keep them cool. 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 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 #8FACILITY NUMBER: VISIT DATE: 05/02/2025

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

met_with: Shenice Bah-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 11/09/2021 at 11:00am, Licensing Program Analyst (LPA) Enrique Hernandez arrived at the above facility, for the purpose of conducting a Plan of Correction (POC) inspection in order to clear the deficiency cited during the complaint investigation on 07/20/2021. LPA met with the facility manager Darryl Theus, who granted access into the facility. LPA received an email on 07/21/21 with part of the plan of correction with pictures of the motion detector, lighting over the windows to all of the bedrooms. Also, Dimondale has modified the swing shift schedule. All swing shift personnel will be working from 1:00pm to 11:00pm and 1:30pm to 11:30pm. The grave yard staff comes on site at 11:00pm On 11/09/2021, at 11: AM, facility manager provided LPA with a tour of the facility, where LPA observed the motion detector lighting over the windows, to all of the bedrooms. The LPA requests the facility manager to provide the training that the manager indicated on 7/20/2021 to LPA Hernandez took place on August 4, 2021. LPA on 7/20/2021 requested to include the topic of the training, the name of the trainer, proof of certification and sign-in list of those in attendance. LPA received an email with the training topic and attendance on 10/29/2021. Exit interview was conducted and a copy of this report was left with the facility manager of the facility whose signature on this form confirm receipt of this document.


summary: Facility Evaluation

raw_content:
Narrative:
On January 19, 2022 at 10am Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required Inspection on the above facility. LPA met with Supervisor, Darryl Theus and together we conducted an inspection of the home. This facility is currently licensed with a provisional licensed, 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, an office for therapeutic services, 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. Supervisor, Darryl Theus provided a tour of the entire physical plant both inside and out. The facility is set up as follows: All bedrooms furnished with sufficient lighting, drawer and closet space, comfortable mattresses, and clean lines, blankets, and pillows, all in good repair. Note: In bedroom 1 and 2 clients were home from school still sleeping during the visit. Clients were cleared from Covid protocols the day prior. Bedrooms 1, 2 and Equipped with 2 twin beds, 2 dressers and enough closet space to accommodate clothing for two clients clothing. Bathrooms: all were observed to be clean and in working order. Staff office: Is kept locked and stores cash, first aid kit, and also equipped with a closet, which will store staff and client files. (Continued on LIC809-C) Medication, sharps and disinfectants were kept in a locked hall closet. Each clients medication was kept in a separate plastic container inside of a locked file cabinet. Client Files: LPA reviewed two client files. Client files were missing the latest Needs and services Plan for both clients and were also out of order and in need of maintenance. Supervisor stated that the current Needs and Services plans were with the Therapist and would be printed out and put in each clients files today. Staff Files: LPA reviewed two staff files. The files contained all information required by the state, but the files were out of order and in need of maintenance. The over all home was in order and in good repair. LPA suggested to the Supervisor to put both the client and staff files in better order as well as insure all documentation required by the State is included in each one. Supervisor was also advised to discuss the interview questions (Trauma informed Care and the Emergency Intervention Plan) in the upcoming In-Service meeting to ensure knowledge of the STRTP standards by the employees. There is no Administrator assigned to the facility at the time of the visit. When an Administrator leaves the position, the facility has 10 days to report to CCL the replacement intentions of the facility. LPA was notified by the Supervisor, Darryl Theus that the Administrator has been gone from the facility since December 2021. LPA contacted the Director, Mr. Flemming and discussed the matter. LPA allowed Mr. Flemming time to research his emails for the information regarding the Administrator. LPA will follow up with Mr. Flemming in a week. LPA will also follow up with Supervisor regarding the above mentioned In-Service meeting. There were no deficiencies cited at the time of the visit.

met_with: Darryl Theus-Supervisor


summary: Facility Evaluation

raw_content:
Narrative:
On April 11, 2022 9:30am Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of following up on the Change of Administrator for the facility. LPA was met by Darryl Theus, Interim Administrator (IA) and allowed into the facility. After a brief discussion with IA, the documentation for the new administrator was emailed to LPA, Enrique Hernandez in 2021. The new Administrator for this facility will be Program Director, Lyn Ayars. LPA received the email correspondence from Lyn Ayars and will review them upon the return to the office. There were no deficiencies cited at the time of the visit.

met_with: Darryl Theus-Interim Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 26, 2024 at 10am Licensing Program Analyst (LPA) Donald Martin conducted an Annual/Required Inspection on the above facility. LPA met with Interim Administrator, Miracle Murray-McKnight and together we conducted an inspection of the home. 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, an office for therapeutic services, 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. Interim Administrator, Miracle Murray-McKnight provided a tour of the entire physical plant both inside and out. The facility is set up as follows: All bedrooms furnished with sufficient lighting, drawer and closet space, comfortable mattresses, and clean linens, blankets, and pillows, all in good repair. Bedrooms 1, 2 and Equipped with 2 twin beds, 2 dressers and enough closet space to accommodate clothing for two clients clothing. Bathrooms #1 is located in the hallway and was clean and in good working condition. Bathroom #2 is located in bed room #3 and was clean and in good working condition. Staff office: Is kept locked and stores cash, first aid kit, and also equipped with a closet, which will store staff and client files. There is a locked closet in the hallway where hygiene boxes and sharps are kept. There is a file cabinet inside also where the medication is kept. Each clients medication was kept in a separate plastic container inside of a locked file cabinet. (Continued on LIC809-C) The Kitchen has a stove, oven, refrigerator and microwave all in good working condition. Threre was a menu located on the refrigerator and a dining room table with seating for the clients. The Backyard was clean and clear of hazards and also where you can find the gas shut off valves. The Front yard was clean and also where you can find the water shut off valves. The garage has two storage refrigerator/freezers that were both stocked with food for the clients. The company vehicle was also in the garage. The registration and insurance were both current and up to date. The vehicle was clean and in good working condition. Clients in care are supervised and protected at all times. Facility personnel instructed to report violations of personal rights. Personal Rights is posted inside the facility. Clients are not restricted in telephone use except by court order. Grievance procedure/ personal rights, menu, emergency disaster plan was posted. Medications are stored/ locked in the office inside a locked metal cabinet. Records for staff and clients are locked inside the office. Facility provides nutritious snacks between meals. Clients are accorded dignity in personal relationships with staff and others. Clients live in a safe, healthy, comfortable facility and are treated with respect. Clients can contact the Licensing Agency or Foster Care Ombudsman person in confidence without threats or punishment for making complaints. Clients attend school, extracurricular, cultural, and personal enrichment activities. Facility records; client cash resources, personal property, and valuables forms are in their file. Client's records contain authorization for emergency medical care signed by each child's authorized representative. Client's records contain original needs and services plan signed by each child and their authorized representative. Overall facility was clean and in good condition. There were no deficiencies cited at the time of the visit.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Sethany Yem conducted a case management inspection on 4/25/24 at 11:28am based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 6 out of 6 youth files were reviewed. 2 out of Direct Care Staff and 2 out of 6 youth were interviewed. (See the Confidential Names List, LIC 811, 4/25/24). The Plan of Operation including policies and procedures were reviewed. Minutes from the board of directors' meetings related to the facility's incidents involving contact with law enforcement were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, youth case plans, quarterly assessments, and crisis intervention plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Yem observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Interim Administrator Skye Hall.

met_with: Interim Administrator Skye Hall


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited Dimondale 8 on 05/07/2026 to conduct the annual random inspection. This is a three bedroom, 2 bathroom home located in the City of Lancaster, CA. There is also an office space, dining area, living room, game room and mental health office. There is also an attached garage, There is one fireplace in the living room. There are no bodies of water on the premises LPA observed the following: Kitchen Area: There is sufficient fresh, frozen and non-perishable food to meet Title 22 requirements. The stove and refrigerator are in good working order. Knives and household cleaners are safely stored. The menu is posted and the ingredients for tonight's dinner are on hand, The kitchen trash can is covered. Bathrooms: There are two bathrooms that are in clean and tidy condition. There are no hazardous items stored in the bathrooms. Shower stalls, toilets and sinks appear to be in good order. Bedrooms: All three bedrooms have beds in good condition with good linens. There is adequate closet and drawer space. Windows are operable. Yard Area/Garage LPA observed no visible hazards in the garage, front yard or back yard areas Fire Safety: There are no security bars on bedroom windows. The fireplace is screened. Both fire extinguishers are fully charged. There are smoke detectors in each bedroom and there is a carbon monoxide detector in the hallway. There was a disaster drill conducted on May 5, 2026. Interviews & Record Reviews LPA interviewed two staff and two clients. LPA also reviewed the files of three employees. Client records and the training records of staff will be reviewed on on May 8, 2026.

met_with: Lashieka Little, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward visited the facility to complete the annual random inspection. During this portion of the inspection, LPA reviewed client records and staff training records. There were no deficiencies cited during this portion of the random annual inspection.

met_with: Lashieka Little, administrator


facility_name: DIMONDALE ADOLESCENT #9

summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

raw_content:
Investigation Findings:
13On October 1, 2021, at 11:30am, Licensing Program Analyst (LPA) Enrique Hernandez made an unannounced visit to for the purpose of concluding the investigation on the above allegation and to deliver the findings. LPA met with Facility Administrator Janina Holt who granted access to Dimondale #2 where she was and together discussed the investigation details.During the investigative process, LPA interviewed all relevant parties to this complaint. FA confirmed that C1's psychotropic medication was not administered by staff. The reason FA found out that C1 was not taking psychotropic medication was during a CFT meeting because SW informed FA. FA said there was a lack of communication from the staff and after that incident their policies have changed. C1 confirmed that not taking the medication because the facility did not provide it for a couple of weeks. C1 noticed by not taking the medication C1's behaviors increased by Awoling more often and being upset all the time. In addition, SW was concerned the facility did not provide the medication to C1 and they were not aware of it. Based on LPA interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. A deficiency was cited to the facility for Health-Related Services. (See 9099-D). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Enrique M Hernandez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 31-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, VENTURA BLVD., STE. WOODLAND HILLS, CA FACILITY NAME: DIMONDALE ADOLESCENT #9FACILITY NUMBER: 197690022

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

Deficiencies:
80075: 1
2
3
4
5
6
7Licensee shall submit to LPA Hernandez by 10/4//2021 a plan of correction, including but not limited to staff training, in order to ensure that medication are administer as prescribed by a physician .
8
9
10
11
12
13
14Based on interviews and record review

met_with: Facility administrator

title:
(b)(5)(B) Health Related Services.  Medications shall be given according to physician's directions.

This requirement is not met as evidenced by


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


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:

met_with: Chief Program Officer-Theresa Foster


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).

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.

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