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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191600093
Report Date: 08/07/2025
Date Signed: 08/07/2025 11:33:19 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Zina Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250401163918
FACILITY NAME:BAY BREEZE CAREFACILITY NUMBER:
191600093
ADMINISTRATOR:MEJIA, JEMIMAHFACILITY TYPE:
735
ADDRESS:1653- 55 SANTA FE AVETELEPHONE:
(562) 432-8033
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:76CENSUS: 63DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
08:21 AM
MET WITH:Honeylet Urrea, ConsultantTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Residents are using illegal drugs at the facility.
INVESTIGATION FINDINGS:
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13
On 08/07/2025 at 8:21am,the department conducted a subsequent complaint visit at this facility to deliver the complaint findings. During today’s visit, LPA met with Honeylet Urrea, Consultant and explained the purpose of the visit.

The investigation consisted of the following:
An initial complaint visit was completed on 04/02/2025. During the initial visit, the department conducted a health and safety check of clients in care and the department obtained records such as the LIC 500 Personnel Report and Facility Roster. On 07/03/2025 and 07/22/2025, the department interviewed Administrator (A1), Staff #1 (S1) - Staff#4 (S4), and Clients #1 (C1)- Client #6 (C6).
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
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 5
Control Number 11-AS-20250401163918
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: BAY BREEZE CARE
FACILITY NUMBER: 191600093
VISIT DATE: 08/07/2025
NARRATIVE
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The investigation revealed the following:
Allegation: Residents are using illegal drugs at the facility.

On 07/03/2025 at approximately 12:00pm and on 07/22/2025 at approximately 10:10am, the department interviewed Administrator (A1). A1 denies witnessing or receiving any reports of clients using illegal drugs at the facility.

On 07/03/2025 between the hours of 11:30am - 11:40am and 07/22/2025 between the hours of 12:05pm - 15:45pm, the department interviewed Staff #1-4. 4 out of 4 staff confirmed the allegation.

On 07/03/2025 between the hours of 10:35am - 11:20am and on 07/22/2025 between the hours of 11:00am - 11:40am, the department interviewed 6 clients in regard to the allegation. 2 of 6 clients confirmed allegation. 4 out of 6 clients denied the allegation.

On 08/04/2025, the department conducted a records review and did not observe any serious incident/unusual report related to the allegation for the last few months despite multiple accounts of drugs be found at the facility and clients appearing to be under the influence.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 1), the above-mentioned deficiency was observed, and citation issued (ref. LIC 9099D).

An exit interview conducted with Honeylet Urrea, Consultant and a copy of this report was provided with appeal rights.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Zina Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250401163918

FACILITY NAME:BAY BREEZE CAREFACILITY NUMBER:
191600093
ADMINISTRATOR:MEJIA, JEMIMAHFACILITY TYPE:
735
ADDRESS:1653- 55 SANTA FE AVETELEPHONE:
(562) 432-8033
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:76CENSUS: 63DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
08:21 AM
MET WITH:Honeylet Urrea, ConsultantTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not prevent individuals from selling illegal drugs on the facility premises to resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/07/2025 at 8:21am,the department conducted a subsequent complaint visit at this facility to deliver the complaint findings. During today’s visit, LPA met with Honeylet Urrea, Consultant and explained the purpose of the visit.

The investigation consisted of the following:
An initial complaint visit was completed on 04/02/2025. During the initial visit, the department conducted a health and safety check of clients in care and the department obtained records such as the LIC 500 Personnel Report and Facility Roster. On 07/03/2025 and 07/22/2025, the department interviewed Administrator (A1), Staff #1 (S1) - Staff#4 (S4), and Clients #1 (C1) - Client #6 (C6).

Report continues on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20250401163918
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: BAY BREEZE CARE
FACILITY NUMBER: 191600093
VISIT DATE: 08/07/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Staff do not prevent individuals from selling illegal drugs on the facility premises to resident in care.

On 07/03/2025 at approximately 12:00pm and on 07/22/2025 at approximately 10:10am, the department interviewed Administrator (A1). A1 denies witnessing or receiving any reports of clients selling illegal drugs at the facility.

On 07/03/2025 between the hours of 11:30am - 11:40am and 07/22/2025 between the hours of 12:05pm - 15:45pm, the department interviewed 4 staff. 4 out of 4 staff are unsure if illegal drugs are being sold at the facility but have reason to believe that individuals are coming to the facility to distribute illegal drugs.

On 07/03/2025 between the hours of 10:35am - 11:20am and on 07/22/2025 between the hours of 11:00am - 11:40am, the department interviewed 6 clients in regards to the allegation. 5 out of 6 clients. denied the allegation and 1 out of 6 clients didn't respond to the question in regard to the allegation above.

On 08/04/2025, the department conducted a records review and did not observe any serious incident/unusual report related to the allegation.

Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.


Exit interview conducted with Honeylet Urrea, Consultant, & copy of the report was provided.


SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20250401163918
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: BAY BREEZE CARE
FACILITY NUMBER: 191600093
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2025
Section Cited
CCR
85088(a)
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Personnel Requirements
The licensee shall employ staff as necessary to ensure provision of care and supervision to meet client needs.This requirement is not met as evidenced by:
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The facility will conduct a mandatory in-service training with all staff on how to identify when a client is under the influence and the requirement needed to report it if staff ever suspect a client to be under the influence to the DSS CCL. Also the facility will assigned a designated person
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Based on interviews and records reviewed clients are using illegal drugs at the facility due to the facility staff not being sufficient in numbers to provide proper supervision. This poses a potential health & safety risk to clients in care.
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to conduct daily rounds three (3) - four (4) times a day. The facility will submit the proof of correction to the CCLD/El Segundo ASC Office via fax at 424-544-1016 Attn: Zina Brown or via email
at zina.brown@dss.ca.gov by the POC due date.
Type B
08/18/2025
Section Cited
CCR
85064(a)
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Administrator Qualifications and Duties
The administrator shall be on the premises the number of hours necessary to manage and administer the facility in compliance with applicable law and regulation.
This requirement is not met as evidenced by:
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The facility is in the process of hiring a new Administrator. In the meantime, the facility will have a person in place who has an Administrator Certification to ensure the health and safety needs of the clients are always been met. The facility will create a plan of expectation to the department
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Based on interviews conducted, observation, and record review the previous facility Administrator Jemimah Mejia was aware of drug usage at the facility and failed to address or manage the issue. This poses a potential health & safety risk to clients in care.
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and submit the proof of correction to the CCLD/El Segundo ASC Office via fax at 424-544-1016 Attn: Zina Brown or via email
at zina.brown@dss.ca.gov by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Zina Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5