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

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

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


state: CA

facility_name: DREAM HOME CARE INC.I

summary: Complaint Investigation - Unsubstantiated - 1 allegation

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

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

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

report_type: Complaint Investigation

met_with: Jerrell Nero/Administrator

complaint_status: unsubstantiated


summary: Complaint Investigation - Substantiated - 1 allegation

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

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

met_with: Jerell Nero/Administrator

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 deficiency

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

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

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

1
2
3
4
5
6
7Facility is to submit a sign in sheet for training on health and safety risks while working with clients in care by October 22, 2024
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9
10
11
12
13
14

met_with: Jerell Nero-Administrator

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


summary: Complaint Investigation - Unsubstantiated

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

met_with: Tianna Gammage, Facility Manager


raw_content:
Narrative:
LPA received multiple conflicting testimonies regarding the facility's timely response with medical attention. All staff and most client testimonies state that the facility does offer consistent medical care in a timely manner when requested. Staff interviews also clarified how some situations may appear to be neglecting medical concerns but are actually following facility policies. Based on the available information LPA gathered from interviews the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not seek medical attention to minors in a timely manner" is found to be unsubstantiated. Allegations: "Minor has access to marijuana while in care." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Witness and client interviews stated that certain clients would smoke marijuana and abuse substances in the facility. Staff interviews stated that while there was a suspicion of a client smoking marijuana in the facility, it was never proven, and a client was never caught actively smoking marijuana in the facility. Staff interviews also shared that the facility consistently offered clients substance abuse help, including offering classes and therapy sessions, but the clients never accepted the offers. LPA received multiple conflicting testimonies regarding minors having access to marijuana while in care. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Minor has access to marijuana while in care" is found to be unsubstantiated. Allegations: "Staff are not meeting minor's mental health needs." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview claimed that a client was struggling with suicide and was not helped by the facility. LPA interviewed involved staff who reported that clients are always offered mental health services, including therapy sessions, both individual and group sessions on a consistent basis. Staff interviews explain that while clients often refuse to engage or participate in the clinical services they are still always offered. Staff interviews claimed that no client has ever reported struggling with suicide. Client testimonies confirmed that mental health assistance is offered, but not always accepted by clients. LPA received multiple conflicting testimonies regarding the mental health services being provided by the facility. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff are not meeting minor's mental health needs" is found to be unsubstantiated. Allegations: "Staff does not accord minor privacy." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview claimed that a client was not being afforded privacy by the facility and would lock themselves in the bathroom to obtain privacy. Staff interviews shared that clients are always afforded privacy, around the facility, and especially in their bedrooms. Client interviews also stated that the facility offered privacy, and clients never had to lock themselves away to get privacy. LPA received multiple conflicting testimonies regarding privacy in the facility. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not accord minor privacy" is found to be unsubstantiated. Allegations: "Staff does not allow minor phone calls." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview claimed that clients were not allowed to make phone calls freely. Staff interviews shared that clients have access to the facility phone and can make calls freely whenever they want. Staff shared that the only call restrictions were court-ordered restrictions. LPA observed the landline at the facility. Client testimony stated that clients had access to the facility phone at all times, and most clients had their own phones and were able to make calls freely. LPA received multiple conflicting testimonies regarding the public phone policy for the facility. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not allow minor phone calls" is found to be unsubstantiated. Allegations: "Staff does not prevent other minors from being bullied." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview stated that younger clients often get bullied by older clients. Staff interviews shared that some older clients did pick on and tease younger clients, but the younger clients would also tease and agitate the older clients to get them in trouble. Staff would always intervene and discourage any bullying from any clients. Client interviews stated that there was some bullying happening at the facility. Clients stated that sometimes staff would intervene when it was happening in public, but sometimes they would not follow up on bullying complaints. LPA received multiple conflicting testimonies regarding bullying in the facility. No other evidence besides testimonies were provided by any interviewed parties. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not prevent other minors from being bullied" is found to be unsubstantiated. Allegations: "Staff does not ensure minor is provided adequate clothing." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview claimed that a client was not adequately clothed, often walking around without shoes and with shirts with holes in them. Staff interviews stated that clients are always informed and offered to go clothes shopping using the facility budget for new clothes. Staff interviews shared that sometimes clients are comfortable with their current clothes, don't like change, and don't care enough to go shopping for new clothes. Client interviews shared that they were adequately clothed and always provided the opportunity to get new clothes. LPA received multiple conflicting testimonies regarding clients being adequately clothed. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not ensure minor is provided adequate clothing" is found to be unsubstantiated. Allegations: "Staff does not follow facility's activity calendar." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview shared that the staff do not update or follow the facility activity calendar. Staff interviews stated that the facility calendar is updated monthly with the participation of the clients. Staff shared that sometimes the activity schedule is not followed only because the clients refuse or deny the scheduled outings and activities. Staff said that it is common for clients on one day to agree to do an activity and then on the next day refuse, which results in the activity or outing being canceled. LPA observed the activity schedule posted in the facility with the correct dates. Client testimonies confirm that the activity schedule is accurate and updated often, but that clients can and often decline to participate in the activities. LPA received multiple conflicting testimonies regarding the facility's activity schedule. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Staff does not follow facility's activity calendar" is found to be unsubstantiated. Allegations: "Facility is operating out of ratio." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. A witness interview stated that the facility often operated out of ration with only 1 staff for every 4/5 clients. The witness claimed that this ratio would last for entire shifts and that it wasn't uncommon. Client testimonies confirmed that the facility sometimes operated with only one direct care staff. Clients also claimed that it wasn't unusual and would last for long periods of time, not just in between shifts. Staff interviews said that the facility never operates out of ratio. Staff interviews state that other staff, including the clinical team, facility managers, and even the administrator, will step in to provide extra coverage when necessary. Sometimes coverage is needed between swing shifts if a staff member is running late, but this is extremely rare. LPA observed the LIC 500 staff roster and schedule and observed adequate 24-hour. coverage. LPA received multiple conflicting testimonies regarding the facility operation out of ratio. Based on the available information LPA gathered from interviews, the preponderance of the evidence standard has not been met; therefore, the allegation of "Facility is operating out of ratio" is found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights.

Investigation Findings:
13On 7/18/25 at 9: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Administrator Nero for the purpose of delivering complaint findings regarding the above allegation. Allegations: "Staff does not seek medical attention to minors in a timely manner." During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Client interviews share that the facility does offer consistent medical care when requested. One client and witness interview shared a time when a client AWOLed from the facility to obtain over-the-counter medications. Staff testimonies stated that clients are always afforded medical care and services when requested. Staff testimonies clarified that the facility is not only allowed to offer clients prescribed medication, and can not provide over-the-counter medications. During the event, where a client AWOLed the facility clarified to the client that they could not provide over-the-counter meds but would work quickly to get prescribed medication. The client did not want to wait and AWOLed to obtain their desired medication. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 07/18/2025

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

met_with: Jerell Nero Administrator


raw_content:
Narrative:
Records determined that adequate food service was provided; as evidence by grocery receipts, posting of the weekly food menu and observed ample perishable and nonperishable food items. Evidence of clothing receipts determined that the youth were taken shopping 1x a month or as needed. Due to a lack of evidence obtained during the investigation, LPA determined that the allegations are Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that a violation occurred. There are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was left with the Program Administrator/Jerell Nero.

Investigation Findings:
13On 08/01/2025 10: AM Licensing Program Analyst (LPA), Rosslyn Gray made an unannounced visit to conclude the investigation. Prior to entering the facility LPA Gray conducted a health and safety risk assessment. During the investigation, LPA Gray interviewed all relevant parties available and gathered pertinent information in reference to the allegations. Based on confidential interviews and documentary evidence, there is no evidence or witnesses to support that staff provided marijuana and contraband to minors in care, or staff reeking of marijuana. There were no records of staff receiving disciplinary action or consolation for working under the influence of substances.Documented evidence determined that room searches were conducted based suspension, and or witnessed cliients actively using inside the facility. Special Incident Reports (SIR) of substance abuse were documented; Needs and Service plan (NSP)and Child Family Team Meeting (CFT) ncluded the history of C1's behavioral issues and history substance abuse. Evidence determined that the youth were transported to the gym in a Licensee's vehicle and there were no reports or evidence of the vehicle reeking of Marijuana. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: JoAunne Griffin LICENSING EVALUATOR NAME: Rosslyn Y. Gray LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care INC.IFACILITY NUMBER: VISIT DATE: 08/01/2025

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

met_with: Program Administrator/Jerell Nero.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with Jerell Nero, administrator, to conduct the Annual Required inspection. The inspection began at 10: AM and the following was observed: This is three bedroom, three bathroom home located in the City of Carson, CA. There is also a dining room, den, family room and office.. There is a small room next to the laundry that is reserved for use as a therapy room. There is adequate space for visitation. There is locked space for client and staff records. There are no bodies of water or firearms in the home. There are no fireplaces and no security bars on the premises. There are working smoke detectors and carbon monoxide detectors in the home. The fire extinguishers are fully charged. Stove and refrigerator or in good working order. There is enough food to meet Title 22 requirements. There is a complete supply of first aid items. There is locked space for medications and other hazardous items. The menu, floor plan, disaster plan, notice of personal rigts and employee work schedule are posted. All bedrooms have two twin beds that are equipped with linens in good condition. Each bedroom has adequate storage space for two. See LIC 809D for deficiencies

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward returned to the facility on this date to obtain a signature on the LIC 809 date 11/04/22. On that date LPA was unable to obtain a signature due to equipment failure.

visit_type: Case Management

met_with: Jerrell Nero


summary: Facility Evaluation

raw_content:
Narrative:
On 12/22/2023 at 10: AM, (LPA) Licensing Program Analyst - Dennis Jarmin made an unannounced visit to Dream Home Care Inc. I to conduct the annual required inspection. LPA met with Rodgnell Hays, Direct Care Personnel who granted access to the facility. LPA then inspected the entire physical plant of the facility. The Group Home is licensed and provides care and supervision for six (6) children, aged 11-17 years, Ambulatory only. There are no bodies of water on the premises and State of California License was posted. The Group Home Administrator was very ill and staff were not available to review personnel records and (1) client records will also be reviewed on the continuation of the inspection. There are no weapons stored on the premises. The facility is a one 1- story home with 3 bedrooms and 3 bathrooms. LPA observed the facility clean and sanitized with clean linens, appropriate drawer storage and closet available for clients clothing. The 3 bathrooms were observed clean and sanitary with the required hot water temperature within the regulation; however, during the walk through, LPA observed the hot water at 60 degrees and took 30 minutes to rise to the required hot water temperature of 105 to 120 degrees. The dining room and living room area had appropriate seatings, and furniture were in good repair condition. The facility has central air conditioning unit that provides suitable air temperature throughout the home with appropriate lighting. LPA observed all the windows in good condition including screens and blinds that are styled double hang with no bars in the event of an emergency evacuation. All passageway and porches were clear of obstruction and all required posting were met (meal plan, daily activities, required licenses and regulations, personal rights and emergency disaster plan) that are posted in the common area readily accessible to clients. LPA observed cleaning supplies solutions, bleaches and disinfectants are properly stored at the lock cabinet in the hallway. Medication was at the storage room; staff office locked and inaccessible without a key. Sharp knives were also observed locked and inaccessible on a separate cabinet in the kitchen area. The clients were sleeping at the time of visit and LPA was able to interview 1 client only. LPA observed 3 battery operated combined smoke detectors and Carbon Monoxide monitor, all system was tested with audible sounds and operable. The laundry area was inspected with no safety issues or concerns noted and an office for staff/administrator were on the rear of the home adjacent to the patio. The facility had outdoor area that are located in the front and back perimeter with no debris or hazardous materials noted. The facility has a 2 working telephone and 2 cordless unit that clients can use. The facility accord clients with dignity in personal relationships with personnel and others. Overall, the licensee operates within the conditions and limitations of the license including capacity limitations. The facility has a current written plan of operation and all personnel are directed to report violations of Personal Rights. The Licensee reports any changes in operation that affects clients service and reports clients' injuries. LPA conducted Staff interviews; 1 client interviews due to clients still asleep and reviewed 3 client records. During this inspection, LPA observed the facility clean, sanitary, safe and free of hazards, and there are no deficiencies cited at this time. LPA will return for continuation of inspection to review all personnel records and conduct 1 client interview. Exit interview was conducted, and a copy of the report will be emailed to Jerell Nero, Facility Administrator.

met_with: Rodgell Hayes, Direct Care Worker


summary: Facility Evaluation

raw_content:
Narrative:
On 1/04/2024 at 09: AM, (LPA) Licensing Program Analyst - Dennis Jarmin made an unannounced visit to Dream Home Care Inc. I to continue the annual required inspection. LPA met with Tianna Gammage, AM Facility Manager granted access to the facility. LPA then inspected the entire physical plant of the facility. The Group Home is licensed and provides care and supervision for six (6) children, aged 11-17 years, Ambulatory only. There are no bodies of water on the premises and State of California License was posted. The Group Home Administrator was on site this time and corporate HR provided the personnel records and LPA reviewed (12) personnel records and pending client was not available due to client no longer resides at the home. There are no weapons stored on the premises. The facility is a one 1- story home with 3 bedrooms and 3 bathrooms. LPA observed the facility clean and sanitized with clean linens, appropriate drawer storage and closet available for clients clothing. The 3 bathrooms were observed clean and sanitary with the required hot water temperature of 105 to 120 degrees. LPA was advised by Administrator that the water heater was adjusted to ensure compliance with regulation. The dining room and living room area had appropriate seatings, and furniture were in good repair condition. The facility has central air conditioning unit that provides suitable air temperature throughout the home with appropriate lighting. LPA observed all the windows in good condition including screens and blinds that are styled double hang with no bars in the event of an emergency evacuation. All passageway and porches were clear of obstruction and all required posting were met (meal plan, daily activities, required licenses and regulations, personal rights, and emergency disaster plan) and posted in the common area readily accessible to clients. LPA observed cleaning supplies solutions, bleaches and disinfectants are properly stored at the lock cabinet in the hallway. Medication was at the storage room; staff office locked and inaccessible without a key. Sharp knives were also observed locked and inaccessible on a separate cabinet in the kitchen area. The client 2 were sleeping at the time of visit and did not want to participate. LPA observed 3 battery operated combined smoke detectors and Carbon Monoxide monitor, all system was tested with audible sounds and operable. The laundry area was inspected with no safety issues and an office for staff/administrator were on the rear of the home adjacent to the patio. There is a garage access through the main entry that is used as a community room for the clients. Refrigerators and freezers had temperature gauge that are within the required temperature and the facility has 7 days of non-perishable and 2 days of perishable food supply. The facility had outdoor area that are in the front and back perimeter with no debris or hazardous materials noted. The facility has a 2 working telephone and 2 cordless unit that clients can use. The facility accords clients with dignity in personal relationships with personnel and others. Overall, the licensee operates within the conditions and limitations of the license including capacity limitations. The facility has a current written plan of operation, and all personnel are directed to report violations of Personal Rights. The Licensee reports any changes in operation that affects clients service and reports clients' injuries. LPA conducted Staff interview; 1 client interview unable to complete and all personnel records were reviewed. During this inspection, LPA observed the facility clean, sanitary, safe, and free of hazards with no deficiencies cited at this time. The missing oven door bottom part was observed repaired and completed on 01/04/2024. Exit interview was conducted, and a copy of the report will be emailed to Jerell Nero, Facility Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On January 18, 2024 at 8: AM, Licensing Program Analyst (LPA) Charmetha White made an unannounced visit to Dream Home Care Inc. I for the purpose of conducting a collateral visit regarding an allegation from a previous placement. LPA met with Tianna Gammage, Facility Manager. LPA was informed that the Administrator was currently not at the facility. LPA conducted confidential interviews. Based on the observations made during today's visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left with facility staff.

met_with: Facility Manager - Tianna Gammage


facility_name: DREAM HOME CARE, INC. III

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

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

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

met_with: Administrator


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

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

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

met_with: Kevin Bennett/Program Administrator


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

met_with: Kevin Bennett, Administrator


raw_content:
Narrative:
LPA also received a copy of the therapy session notes from December 2024 to February 2025, showing that therapy sessions were still being offered. Also, these notes confirm staff statements that therapy sessions are offered twice a week for a minimum of two hours. While some staff disagree on the required amount of time offered weekly for therapy sessions, all interviewed parties, including staff and clients, agreed that therapy sessions were still offered weekly at all times. Also, the received therapy notes show that therapy sessions were always being offered. Based on the available information LPA gathered from interviews and observation, the preponderance of the evidence standard has not been met, therefore, the allegation of "Staff did not ensure adequate therapeutic services were provided to minors in care" is found to be unsubstantiated. An exit interview was conducted, during which LPA provided the Administrator with a copy of this report and a copy of their appeal rights.

Investigation Findings:
13On 7/2/25 at 3: PM , Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Administrator Kevin Bennett for the purpose of delivering complaint findings regarding the above allegation. LPA interviewed involved staff, clients, and witnesses. Staff interviews stated that the facilities policy is to provide "a minimum of two hours per week of group therapy and one and a half hour of individual therapy". Multiple staff and client interviews reported that these group and individual therapy sessions are being provided and are in line with facility policy. Multiple clients shared that though the sessions are offered, they often either decline or don't actively speak and participate in the sessions, making them shorter. All staff and clients stated that therapy sessions are offered on a weekly basis. One staff interview stated that "STRTP regulations require an on site therapist from 9-5... (the facility) has not been providing 9-5 coverage." LPA researched both the STRTP regulations and the facility program statement and could not find any minimum time requirement for a therapist to be present, only that therapy sessions are required to be offered. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care, INC. IIIFACILITY NUMBER: VISIT DATE: 07/02/2025

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

met_with: Kevin Bennett


summary: Complaint Investigation - Substantiated

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

met_with: Shayanne Macias, Facility Manager


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

met_with: Britney Rodriguez, Cliician


summary: Facility Evaluation

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


summary: Facility Evaluation

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

met_with: Kevin Bennett/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On May 3, 2022 at 9:15am Licensing Program Analysts (LPAs), Emelyn Sanchez P. and Olivia Rosas arrived at Dream Home Care, INC. III unannounced for the purpose of conducting a SB Psychotropic Medication Case Management- Medication Inspection Visit. LPAs Sanchez P. and Rosas met with Kevin Bennett, Administrator. LPAs Sanchez P. and Rosas reviewed one (1) client file and three (3) staff files. LPAs Sanchez P. and Rosas conducted three (3) staff interviews and one (1) client interview. Currently there are two (2) 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, one (1) therapy room, four (4) bathrooms, living room, kitchen, dining room, laundry space and attached garage. 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 triple 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: K evin Bennet t, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 1/04/2024 at 01: PM, (LPA) Licensing Program Analyst - Dennis Jarmin made an unannounced visit to Dream Home Care Inc. III to conduct the annual inspection. LPA met with Kevin Bennett, Program Administrator, who granted access to the facility. LPA then inspected the entire physical plant of the facility. The Short Term Residential Therapeutic Program (STRTP) Home is licensed and provides care and supervision for six (6) children, aged 11-17 years old, Ambulatory only. There are no bodies of water on the premises and this facility provides services to the non-minor dependents per regulation. The State of California License was posted and visible. The Program Administrator was on site and provided all the client records for LPA to review but the personnel records were located at the corporate office. LPA then will come back and continue the inspection and review the files on 01/05/2024. The administrator also provided LPA with the LIC 500 and current census. There are no weapons stored on the premises. The facility is a 1- story home with 3 bedrooms and 4 bathrooms with one ½ bath. LPA observed the facility was clean and sanitized with clean linens, appropriate drawer storage, and a closet available for clients' clothing. The 3 bathrooms were observed clean and sanitary with the required hot water temperature of 105 to 120 degrees. LPA was informed by the Administrator that the boarded-up broken window in bedroom 1 is being repaired. LPA was then given a copy of the work order with the expected time of completion. The dining room and living room area had appropriate seatings, and the furniture was in good repair condition. The facility has several air conditioning units installed to provide suitable air temperature throughout the home with appropriate lighting. LPA observed all the windows in good condition including screens and blinds that are styled double hang with no bars in the event of an emergency evacuation. The bedrooms had no screens due to the installation of the AC units. During the inspection, LPA observed that all passageways and porches were clear of obstruction, and all required postings were met (meal plan, daily activities, required licenses and regulations, personal rights, and emergency disaster plan, etc.) which are located in the common area of the home. The facility has a garage that is utilized as a game room for the clients adjacent to the main entrance. The facility properly stored cleaning supplies solutions, bleaches, and disinfectants in a locked cabinet in the hallway. Medications were stored in the office room, which was inaccessible without a key. Sharp knives were locked also and inaccessible in a separate cabinet in the office area. The facility had installed 5 battery operated combined smoke detectors, 2 carbon monoxide monitors, and 2 fire extinguishers, all of which were tested and operable per regulation. The laundry area was inspected, and there were no safety issues. The facility has a room designated as an office for staff/administrators in the middle section of the home. The outdoor areas of the facility were free of debris and hazardous materials. The facility had one working telephone and one cordless unit that clients could use. The clients were treated with dignity in their relationships with personnel and others. There were 7 days' supply of non-perishable food and 2 days' perishable food at the home. The refrigerators and freezers had appropriate temperature gauges per regulation where food was stored. Overall, the licensee operated within the conditions and limitations of the license, including capacity limitations. The facility had a current written plan of operation, and all personnel were directed to report violations of personal rights. The licensee reported any changes in operation that affected clients' service and reported clients' injuries. During the inspection, 2 staff interviews and 1 client interview were conducted. All personnel records will be reviewed on the continuation of the inspection. The facility was found to be clean, sanitary, safe, and free of hazards, with no deficiencies cited at this time. An exit interview was conducted, and a copy of the report will be emailed to Kevin Bennett, Program Administrator.

met_with: KEVIN BENNETT


summary: Facility Evaluation

raw_content:
Narrative:
On 1/05/2024 at 01: PM, (LPA) Licensing Program Analyst - Dennis Jarmin made an announced visit to Dream Home Care Inc. corporate office ( S.Western Ave Ste. Torrance CA) to continue the annual inspection and review the personnel records. LPA met with Cora Manalang, CEO, who granted access to the corporate office. LPA then inspected the entire personnel records and did not find any deficiencies at this time per regulation. Overall, the licensee operated within the conditions and limitations of the license, including capacity limitations. The facility had a current written plan of operation, and all personnel were directed to report violations of personal rights. The licensee reported any changes in operation that affected clients' service and reported clients' injuries. During the inspection, all personnel records were reviewed and compliant with the required documentation. LPA advised CEO to ensure that personnel records are readily available in the facility at any time. The STRTP was found to be clean, sanitary, safe, and free of hazards, with no deficiencies cited at this time. An exit interview was conducted, and a copy of the report will be emailed to Kevin Bennett, Program Administrator and Cora Manalang, CEO.

met_with: CORA MANALANG/CEO


summary: Facility Evaluation

raw_content:
Narrative:
On 1/16/ Licensing Program Analyst (LPA) Reagan Cohen arrived unannounced at Dream Home Care (III) facility and conducted an investigation regarding a case management-Incident inspection. LPA met with Administrator Kevin Bennett and discussed SIR #1209737 which happened on 1/3/25, and involved two clients AWOLing, stealing a car, and being arrested by the police. LPA requested and received a copy of the staff and client roster for the facility, LPA also received a facility copy of the SIR. LPA interviewed 3 staff regarding the above incident. LPA requested and recived a copy of the Needs and Services Plan (NSP) for both clients. LPA also requested copies of the police reports from the incident, Admin stated they do not have the police reports and suggested asking DCFS. LPA requested and received contact info facility staff to continue investigation. LPA informed Administrator that more information is needed prior to making any decisions or recommendations. Exit Interview was conducted and a copy of this report was given to Administrator Bennett.

met_with: Kevin Bennett Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 1/30/25 at 12: PM Licensing Program Analyst (LPA) Reagan Cohen & Licensing Program Manager Lakescia Smith arrived unannounced at Dream Home Care (III) facility and conducted an investigation regarding a case management-Incident. LPA and LPM met with Facility Manager Beatriz Alvarado and discussed SIR #1205855 which happened on 12/28/24, and involved two clients physically assaulting a staff member and being arrested. LPA & LPM requested and received a copy of the staff and client roster for the facility, LPA & LPM recived a copy of both clients Foster Child's Needs and Case Plan Summary, Safety Plan, and Admissions Agreement. LPA and LPM spoke to Administrator Kevin Bennett over the phone to inform him of the investigation. LPA & LPM requested a copy of the discharge summary and a copy of the clients final Needs and Services Plan. Further review and investigation is needed. Exit Interview was conducted and a copy of this report was given to Facility Manager Beatriz Alvarado.

met_with: Beatriz Alvarado


summary: Facility Evaluation

raw_content:
Narrative:
On February 13, 2025 at 9:00AM Licensing Program Analysts (LPAs) Connie Jones'Steward, Kenrick Ellis, and Rosslyn Gray, made an announced visit at DREAM HOME CARE, INC.III to conduct the Psychotropic Case Medication Inspection. LPAs conducted a Health and safety risk assessment upon arriving at the facility. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9(a)(2). During the inspection, LPAs Jones-Steward, Ellis, and Gray, met with the Administrator Kevin Bennett conducted a brief walk through of the physical plant inside and out. LPAs reviewed one (1) of child's psychotropic medications and medication records. LPA did not interview the one (1) client currently prescribed psychotropic medication due a mandatory scheduled court appointment. LPAs reviewed three (3) staff personnel files on site at the facility. LPAs interviewed three (3) of staff on site to discuss the facilities policies and procedures of operation. The Administrator provided a physical hard copy of the psychotropic medication training topics during the training for for LPA's to review. LPA's reviewed the LIC-500 to confirm the shift which starts in the evening and ends early morning and reviewed the staff Criminal Records Clearances. The Administrator provided a physical hard copy of the psychotropic medication training topics during the training for LPA's to review. No deficiency were cited per Group Home Title 22, Division Chapter 5. An exit interview was conducted, and a copy of this report was left with the Administrator Kevin Bennett

met_with: Administrator Kevin Bennett/ Beatriz Alvarez


summary: Facility Evaluation

raw_content:
Narrative:
On 5/2/25 at 2: PM, Licensing Program Analyst (LPA) Reagan Cohen arrived at Dream Home Care III Facility and met with Facility Manager Beatriz Alvarado for the purpose of delivering IR-Follow Up findings regarding SIR #1209737, which happened on 1/3/25, and involved two clients AWOLing, stealing a car, and being arrested by the police. During the investigation, LPA interviewed involved staff and clients and performed record reviews. Staff and client interviews stated that a staff member left their personal items, including the keys to their personal car, out in the facility's general areas. Clients found the keys and AWOLed with the staff member's car. While the facility knew about the AWOL and made the proper reports, it was not known until later that the staff member's car was stolen. The clients also ended up in a police chase, a car accident, and arrest during the incident. While no deficiencies are being cited. LPA is giving a TA to the facility regarding employees storing their personal items in facility-supplied employee-only lockers/storage areas. Exit Interview Conducted. A copy of this report was given to the Facility Manager.

met_with: Beatriz Alvarado Facility Manager


raw_content:
Narrative:
Staff shared that the client was reminded of the pick-up spot and time. LPA observed staff notes documenting the client not being present at the pick-up spot on at least one occasion. One client interview stated that they do not get enough food. Staff and witness interviews stated that they have never heard clients complain about food quantity. LPA observed the fridge and pantry to have an adequate amount of food, including leftovers from previous meals. One client interview stated that staff say mean things, curse at clients, show disrespect, and make fun of their religion. One witness interview also shared that they felt disrespected by staff during their time at the facility. They shared that staff were rude and intrusive. All staff interviews stated that staff have never yelled at, cursed at, made fun of, or disrespected clients. Multiple witness interviews shared that their experiences with the staff were pleasant and professional. Those interviews also stated that the staff treat the clients well and are helping them. Client and staff interviews all agreed that C1 was allowed to go to church on Sunday and that C1 was not allowed to go to church on Thursdays. Staff interviews explained that this was a decision agreed upon by the clinical team, C1, and C1's Social Worker during a CFT meeting. The reason was that C1 had trouble going to school, and staying out late Thursday nights could be hindering school attendance on Friday. Staff also explained that C1 was allowed to stay at church all day on Sunday as a compromise for missing Thursdays. Staff shared that the decision was not personal against the client or their religion but solely to encourage school attendance. C1 shared conflicting information that they did not agree to the plan to remove Thursday church services. LPA observed an email from C1's Social Worker and the Social Worker's supervisor agreeing to the plan to stop C1's church attendance on Thursdays only to promote school attendance. LPA received conflicting interviews regarding the allegations. Client interviews and staff interviews, and testimonies conflicted with each other. Multiple staff interviews denied the allegations and provided explanations, while a client interview agreed with the allegations. LPA observed evidence, including the court-mandated order for monitored calls, the staff notes documenting a client not being at the designated pick up spot, the fridge and pantry to be adequately stocked with food including leftovers from previous meals, and an email from C1's Social Worker and the Social Worker's supervisor agreeing to the plan to stop C1's church attendance on Thursdays only to promote school attendance. Based on the available information, LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met; therefore, the allegations that "Staff did not allow minor in care from making confidential phone calls. Staff did not provide school transportation to minor in care, Staff did not provide sufficient foods to minor in care, Staff spoke inappropriately to minor in care. Staff prevented minor in care from attending church services" has been found to be unsubstantiated. Exit Interview Conducted. No deficiencies cited at this time. A copy of this report was given to the administrator.

Investigation Findings:
13(This document is being amended, the findings are being explicitly stated as unsubstantiated. See LIC 9099-C.) On 11/12/25, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility and met with Administrator for the purpose of delivering complaint findings regarding the above allegation. During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. Client and staff interviews stated that C1's calls with their mother are not confidential. Staff interviews shared that C1 has a court-mandated order to have monitored calls with their mom. LPA observed a copy of the court order mandating monitored conversations for C1 and their mom. Staff interviews also stated that only the calls with the mom are monitored; all other calls are confidential. One client interview shared that multiple times they were not picked up from school and had to walk home. Staff interviews shared that on two occasions, a client was not present at the designated pick-up spot and that they waited 10 minutes, but then had to pick up other clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290b El Segundo, CA Facility Name: Dream Home Care, INC. IIIFACILITY NUMBER: VISIT DATE: 11/12/2025

met_with: Brittney Rodriguez Clinician


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 5/2/25 at 10: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at the Dream Home Care facility and met with Facility Manager Beatriz Alvarado for the purpose of delivering Case Management other findings regarding SIR #1205855 which happened on 12/28/24, and involved two clients physically assaulting a staff member and being arrested. During the investigation, LPA interviewed involved staff and clients and performed record reviews. Records review of the Dream Home Care III Program Statement revealed that Dream Home Care III's policy is that "violation of the above rules will never reduce the resident's guaranteed allowance." Interview evidence from both staff and clients revealed that staff involved mentioned 'withholding the allowance' of the clients as punishment for not cleaning their rooms. Client interviews admitted that the mentioned notion of withholding allowances is what triggered them. Therefore, based on the available information LPA gathered from interviews and records review evidence, the facility is found to be out of compliance with ILS section Plan of Operation and will be cited. A copy of this report was given to the Facility Manager.

Deficiencies:
87022(f): "

title:
1
2
3
4
5
6
787022 (f) Plan of Operation


summary: Facility Evaluation

raw_content:
Narrative:
On 10/23/ LPA arrived at the above facility for the purpose of a case management other visit. While reviewing the staff schedule LPA noticed that staff Prince Osuji was listed on the schedule but was missing clearance on guardian. Staff and clients admitted that Prince has worked at the facility. LPA informed Facility Manager that the facility would be cited. The following deficiency is being cited for violating of California Code of Regulations Title 22, Division Regulation 80019 (e) (2) criminal record clearance. (see page D) Exit interview completed, appeal rights issued, and a copy of this report was given to the Facility Manager.

met_with: Facility Manager Shyanne Macias


facility_name: EA NIGHTHAWK STRTP

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

Investigation Findings:
13Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPA met with Diana Tichenor, Administrator. LPA Vue conducted the complaint investigation. LPA opened the investigation with the facility on 06/11/24 and met with Diana Tichenor, Administrator, and conducted a Health and Safety Inspection. During the course of the investigation, LPA conducted fifteen confidential interviews. LPA reviewed records from the facility including Staff schedule for the month of May, LIC 500 with staff contacts, current list of staff training, and most recent Needs and Service for one minor. LPA also reviewed additional records including Placement Roster, Placement Behavior Checklist, Visitation notes, Serious Incident Reports (SIR), Medical Records, Court Records, County Delivered Logs, and email documents. 9099 continued on 9099c UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Lyta Vue LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: EA NIGHTHAWK STRTPFACILITY NUMBER: VISIT DATE: 07/25/2024

met_with: Diana Tichenor, Administrator


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

Investigation Findings:
13Licensing Program Analysts (LPAs) Misty Valencia and Yesenia Vellejo arrived unannounced at the facility on this date for the purpose of delivering findings for the complaint investigation. LPAs met with Diana Tichenor, Administrator. Licensing Program Analysts Brown, Yesenia Vallejo, and Tina Thorn conducted the complaint investigation. LPA Brown initiated the investigation with the facility on 11/21/2024 and met with the mental health clinician and conducted interview and a Health and Safety Inspection was conducted. During the course of the investigation, LPA Brown also interviewed the reporting party, the facility administrator, two clients, one county social worker, and one county social worker supervisor. LPA Vallejo interviewed two facility managers and one senior facility supervisor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Hillary Hall LICENSING EVALUATOR NAME: Misty Valencia LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 25-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CHICO - RESIDENTIAL, COHASSET RD., STE. FACILITY NAME: EA NIGHTHAWK STRTPFACILITY NUMBER: VISIT DATE: 02/11/2025


summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2021 at 12:30pm, Licensing Program Analysts (LPA) Hillary Hall and Danielle Walker-Flores arrived unannounced at the facility for the purpose of completing an Annual Inspection. LPA's met with Administrator (AD) Diana Tichenor and left at 5:30pm. LPA's returned on December 30, 2021 at 9am to continue the inspection. LPA's met with AD and left at 12:30pm. *Due to LPA's local FAS database being inaccessible, the CARE tool Annual Inspection forms were unable to be recorded in FAS on the date of the inspection. LPA's referenced copies of the CARE tool as well as Staff/client interviews. Findings were further delayed from being delivered to the facility as a staff member and client tested positive for Covid. LPA Hall met with AD on 1/25/2022 to deliver findings. On 12/29/21, LPA's completed a facility inspection using the CARE tool. Facility is clean and organized. More than 7 days of non-perishable food was observed and more than 3 days of perishable food was observed. Each client has sufficient bedding and storage space. Facility vehicles were in good repair. Facility has a pool which is properly fenced with a locked gate. Staff supervision was higher than regulations require. Smoke alarms and fire extinguishers were in compliance. Medications and cleaning supplies were locked behind doors with combination locks. No deficiencies were noted in the physical grounds. The facility currently has five clients. On 12/29/21, LPA Hall interviewed all four clients present. The remaining client was not available due to an extended visit. LPA's interviewed 6 staff who were on site. LPA's reviewed five client files. On 12/30/21, LPA's reviewed ten staff files. No deficiencies were noted with the staff files. LPA's observed all five client files to have Needs and Services Plans (NSP) which were not updated or individualized for each client. All five client files reviewed had NSP which were completed timely, but did not document the client's progress toward their goals or any modification of the goals. Each NSP was nearly identical and resubmitted every 30 days. Continued on 809C. Continued from Each client had an additional Mental health Treatment Plan with supplemental therapeutic goals, however, these Treatment Plans were also not updated to reflect the clients needs, or how the client met their goals in the preceding 30 days. A Citation is being issued per Interim Licensing Standards STRTP version 4, Section 87068.3(a): Modifications to The Needs and Services Plan: (a) The needs and services plan specified in Section 87068.2 shall be updated at least every 30 days to determine the following: (1) The child's need for continuing services. (2) The facility's recommendation regarding the feasibility of the child's return to their home; placement in a less restrictive family-like setting consistent with the facility's program statement...or move to independent living. (3) The need for modification in services. (4) The progress of the child toward their transfer goal. A signed copy of this LIC-809, LIC-809C, and LIC-809D were provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Hillary Hall and Misty Valencia 11/30/22 at AM. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs met with Hannah Ellis, Facility Manager, and inspected the facility inside and out. The facility has five clients prescribed psychotropic medication. LPAs reviewed 5 client's records and 3 staff personnel files on site at the facility. LPAs reviewed 5 client's psychotropic medications and medication records. LPAs interviewed 3 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 1 client currently prescribed psychotropic medication. LPAs provided a signed copy of this licensing report (LIC-809) to the Facility Manager and conducted an exit interview. No deficiencies are being cited at this time. LPAs were unable to complete the psychotropic medication inspection on this date and will follow up on subsequent day to complete the inspection.

met_with: Hannah Ellis, Facility Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 12/01/2022, Licensing Program Analysts (LPA) Hillary Hall and Misty Valencia arrived unannounced at the facility for the purpose of conducting an Annual Inspection. LPA's met with Facility Manager (FM) Hannah Ellis. LPA's utilized the CARES tool to conduct the inspection. Facility is clean and organized. More than 7 days of non-perishable food was observed and more than 3 days of perishable food was observed. The facility currently has 6 clients. Each client has sufficient bedding and storage space. Facility vehicles were in good repair. Facility has a pool which is properly fenced. Staff supervision was was within ratio. Smoke alarms and fire extinguishers were in compliance. Medications and cleaning supplies were locked. *No deficiencies were noted in the physical grounds. On 11/30/22, LPA Valencia interviewed one client, as LPAs were on site this date for a SB Psychotropic Medication Inspection. LPA Hall reviewed 5 client files. LPA Valencia interviewed 3 staff and reviewed 3 staff files. On 12/01/22, LPA's interviewed 5 clients and reviewed 1 remaining client file. LPA's observed all 6 client files to have current Needs and Service Treatment Plans (NSP). *No deficiencies were noted with the staff or client files. A signed copy of this LIC-809 and LIC-809C was provided to the administrator.


summary: Facility Evaluation

raw_content:
Narrative:
A Continuation to the SB Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPA) Hillary Hall and Misty Valencia. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). As the inspection could not be completed on 11/30/22, LPA's returned to the facility on 12/2/22. The facility has five clients prescribed psychotropic medication. On 12/2/22, LPA Valencia interviewed two clients and attempted to interview two additional clients, who declined to be interviewed. This completed the inspection. LPAs provided a signed copy of this licensing report (LIC-809) to the Facility Manager and conducted an exit interview. No deficiencies are being cited.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analyst (LPA) Misty Valencia and Lyta Vue on 11/07/2023 at 8:00(AM). This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPA Valencia and Vue met with Dianna Tichenor, Administrator and inspected the facility inside and out. LPA reviewed four out of five (4 out of 5) of child's records and three out of ten (3 out of 10) of staff personnel files on site at the facility. LPA reviewed four out of five (4 out of 5) of child's psychotropic medications and medication records. LPA interviewed three out of ten (3 out of 10) of staff on site to discuss the facilities policies and procedures of operation. LPA interviewed four out of five (4 out of 5) of children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Dianna Tichenor, Administrator. No deficiencies are being cited at this time. LPA conducted exit interview with Dianna Tichenor, Administrator.

met_with: Dianna Tichenor, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2024, Licensing Program Analyst (LPA) Wendy Brown arrived unannounced at the facility and met with Administrator Diana Tichenor. The purpose of the visit was to conduct a Required, Biennial Inspection of the facility. The last inspection for the facility was on 01/25/2022. LPA utilized the CARE Tool to complete the inspection. LPA conducted an inspection of the physical plant, and checked for all necessary requirements. The facility was clean and organized, and maintained an acceptable room temperature. The facility is a home like setting, with three client bedrooms, a large open plan kitchen/dining area, and one locked staff office. The backyard was free from hazards, safely fenced, with a variety of sports equipment accessible to clients. Facility has a pool which is properly fenced with a locked gate. LPA observed the proper postings including: facility license, complaint hotline, client personal rights, and emergency disaster plan. The facility bathrooms were all were observed to be clean and fully functioning. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the garage. LPA observed client files and client medications were stored in a locked file cabinet in the locked staff office. The facility has no outstanding fees. The facility currently has six clients, with a licensed maximum capacity of six. Staff to client ratio is at least 2:1 by day and 1:6 by night. LPA reviewed five staff files. Staff files had completed criminal record clearances and all required initial and annual training. LPA interviewed three staff on site. LPA reviewed five client files. All clients had signed Admission Agreements on file. Client files had completed initial Needs and Service Treatment Plans, signed by clients and staff, and updated Needs and Service plans every 30 days and goals and progress were noted. Needs and Service Plans detailed adequate supportive services the facility offers to the clients. Clients were current on CHDP physical exams and dental exams. Five of the clients were taking court ordered psychotropic medications and had current JV-220's on file. LPA interviewed two clients. No citations were given on this date. A signed copy of this LIC-809 and LIC-809-C report was provided to the Administrator. An exit interview was conducted.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced Psychotropic Medication Inspection was conducted by Licensing Program Analysts (LPAs) Misty Valencia and Lyta Vue on 02/03/2026 at 8:30 am. This case management inspection is conducted pursuant to Health and Safety Code Section 1538.9 (a)(2). During the inspection, LPAs Valencia and Vue met with Administrators Dianna Tichenor and Administrator, Yahya Dosu. LPAs conducted an health an safety inspected of the facility inside and out. LPAs reviewed 3 of 4 child's records and 5 of 11 staff personnel files on site at the facility. LPAs reviewed 3 of 3 child's psychotropic medications and medication records. LPAs interviewed 3 of 11 staff on site to discuss the facilities policies and procedures of operation. LPAs interviewed 3 of 3 children currently prescribed psychotropic medication. LPA provided a copy of this licensing report to Dianna Tichenor, Administrator,. No deficiencies are being cited at this time. LPA conducted exit interview with Dianna Tichenor, Administrator.

met_with: Dianna Tichenor, Administrator, Yahya Dosu


facility_name: EAGLE EYE

raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff used inappropriate language towards clients in care, facility staff made inappropriate comments towards clients in care and facility staff threatened client in care, therefore the above allegation is unsubstantiated. Exit interview conducted with Adminstrator and report was e-mail to Administrator for signature.

Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a tele-visit follow-up complaint inspection with Eagle Eye and spoke with Maurice Arnold Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of investigating these allegations, LPA Rollins conducted confidential interviews with staff, clients, support staff, Social Worker, received documentation and conducted clients' file review. Confidential interviews reveal conflicting stories on if facility staff used inappropriate language towards clients in care. Confidential interviews reveal conflicting stories on if facility staff made inappropriate comments towards client in care and facility staff threaten client in care. Based on interviews and documentation there was not enough evidence to prove that facility staff used inappropriate language towards clients in care, facility staff made inappropriate comments towards clients in care and facility staff threatened client in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: EAGLE EYEFACILITY NUMBER: VISIT DATE: 05/12/2021

met_with: Maurice Arnold- Administrator


raw_content:
Narrative:
Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that facility staff failed to report when client in care AWOL'd from facility and facility staff did not safeguard client in care personal belongings, therefore the above allegation is unsubstantiated. Exit interview conducted with Adminstrator and report was e-mail to Administrator for signature

Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a tele-visit follow-up complaint inspection with Eagle Eye and spoke with Maurice Arnold Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of investigating the allegation, LPA Rollins conducted confidential interviews with staff, clients, support staff, Social Worker, received documentation and conducted clients' file review. Confidential interviews reveal conflicting stories on if facility staff failed to report when clients in care AWOL'd from facility. Confidential interviews reveal conflicting stories on if facility staff did not safeguard client in care personal belongings. Based on interviews there was not enough evidence to prove that facility staff failed to report when client in care AWOL'd from facility and facility staff did not safeguard client in care personal belongings. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: EAGLE EYEFACILITY NUMBER: VISIT DATE: 05/12/2021

met_with: Maurice Arnold-Administrator


raw_content:
Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a follow-up complaint inspection at Eagle Eye and spoke with Derrick Kennedy Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegation. During the course of investigating the allegation, LPA Rollins conducted confidential interviews with facility staff, clients, social workers and conducted clients file review. Confidential interviews reveal conflicting stories about Lack of Supervision resulted in client in care engaging in physical altercation. Confidential interviews reveal conflicting stories about facility staff to provide a safe enviroment for client client in care and client in care has access to weapons. Based on interviews and documentation there was not enough evidence to prove lack of supervision resulted in client in care engaging in physical altercation, facility staff failed to provide a safe enviroment for client in care and client in care has access to weapons. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove lack of supervision resulted in client in care engaging in physical altercation, facility staff failed to provide a safe enviroment for client in care and client in care has access to weapons, therefore the above allegation is unsubstantiated. Exit interview conducted with FM and LPA left report at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 2

met_with: Derrick Kennedy-Administrator


raw_content:
Narrative:
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove client in care is smoking marijuana in the facility, client in care have access to dangerous items, client in care bed is not maintained in good repair, window screens are missing and staff were not prepared for intake of client in care, therefore the above allegation is unsubstantiated. Exit interview conducted with FM and LPA left report at the facility.

Investigation Findings:
13Licensing Program Analyst (LPA) Christopher Rollins conducted a follow-up complaint inspection at Eagle Eye and spoke with Derrick Kennedy Administrator. The purpose of the inspection was to deliver the findings for the above complaint allegations. During the course of investigating the allegation, LPA Rollins conducted confidential interviews with facility staff, clients, social workers and conducted clients file review. Confidential interviews reveal conflicting stories about client in care smoking marijuana in the facility and client in care having access to dangerous items. Confidential interviews reveal conflicting stories about clients in care bed is not maintained in good repair, clients in care window screens are missing and staff were not prepared for intake of client in care. Based on interviews, documentation and walkthrough there was not enough evidence to prove client in care is smoking marijuana in the facility, client in care have access to dangerous items, client in care bed is not maintained in good repair,window screens are missing and staff were not prepared for intake of client in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Zaid Hakim LICENSING EVALUATOR NAME: Christopher Rollins 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: EAGLE EYEFACILITY NUMBER: VISIT DATE: 01/05/2022

met_with: Derrick Kennedy- Administrator