306003759-5-26-2026-28-AS-DSIS-DUJUYC-20260529155944

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003759
Report Date: 05/09/2026
Date Signed: 05/26/2026 12:36:11 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/06/2026 and conducted by Evaluator Christian Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260306114431

FACILITY NAME:	SKY HOMES-CARDALE		FACILITY NUMBER:	306003759
ADMINISTRATOR:	SKY JULIAN		FACILITY TYPE:	735
ADDRESS:	6234 CARDALE STREET		TELEPHONE:	(562) 455-5515
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90713
CAPACITY:	4	CENSUS:	DATE:	05/09/2026
		UNANNOUNCED	TIME BEGAN:	10:26 AM
MET WITH:	Danika Williams DSP		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff does not ensure client's hygiene needs are being met.
Staff does not ensure client is provided clean clothing.
Staff does not ensure client was provided a meal.

INVESTIGATION FINDINGS:

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***This is an amended report of original report dated 05/09/2026, the purpose for amendment is to remove confidential information. This amended report does not change the findings. LPA Gutierrez redelivered report on 05/21/2026 and obtained signatures on the hard copy.Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced subsequent complaint visit in response to the above allegations. LPA met with DSP Danika Williams who assisted with today’s visit.Licensee Shirrell Smith was notified.
The investigation consisted of the following: During the initial visit conducted on 03/12/2026 LPA’s obtained copies of the following documents: Staff roster, and client roster. LPA also conducted a tour of the home and all four (4) bedrooms. During visit on 03/19/2026 LPA obtained copies of special incident reports (SIR), quarterly behavior report, Individual program plan (IPP), and physicians report LIC 602. LPA interviewed Administrator in person, staff #1 (S1) over the telephone, witness #1-witness #2 (W1-W2) over telephone, and client #1 (C1) over telephone. On 04/22/26 LPA interviewed staff #2-staff# 3 (S2-S3) over telephone and witness# 3 (W3) over telephone. On 05/08/26 LPA interviewed staff 3(S3) over and client# 2-client #3 (C2-C3) over telephone. During today’s visit LPA delivered findings.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260306114431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SKY HOMES-CARDALE	FACILITY NUMBER: 306003759
	VISIT DATE: 05/09/2026

NARRATIVE

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In regard to the allegation” Staff does not ensure client's hygiene needs are being met”, It is alleged that during pick up for day program C1 had a strong body odor and was poorly groomed. During interview with Administrator, and staff all four (4) stated C1 refuses to shower. Staff indicated that they try to talk and redirect C1 to shower but C1 still refuses. Staff stated they have spoken to the behavioral therapist and regional center about this situation. S3 stated it hard because all the clients have right of refusal, so they feel like there hands are tied. W2 stated they have been in contact with facility, and it gets better for a period then it goes back to the same thing. During interview with clients all three stated that they shower. C1 stated he/she does not like to shower on weekends. LPA obtained copy of IPP report dated 07/29/2025 at it indicated on going problems with hygiene. LPA conducted a tour of C1 bedroom and observed a plastic bin of hygiene products. Staff has put together a logbook to keep track of all of C1’s showers and refusals.

In regard to the allegation” Staff does not ensure client is provided clean clothing”, It is alleged that C1 was wearing the same clothes two days in a row. During interview with Administrator, and staff all four (4) stated C1 refuses to change. Staff indicated C1 has a pair of favorite clothes and always wants to wear the same thing. Staff washes C1’s clothes but C1 still chooses not to wear clean clothes. S3 states there was a time that C1 was wearing clean clothes but had dirty clothes in a backpack to take to program. W2 stated that C1 stated that clothes are different but feels that is questionable. During interviews with clients three (3) out of three (3) stated that they wear clean clothes. LPA conducted a tour of C1’s bedroom and observed a sufficient amount of clean under garments and clean clothes in drawers and an empty laundry basket in closet. LPA obtained copy of IPP report dated 07/29/2025 at it indicated ongoing problems with C1 wearing dirty clothes even though clean clothes are present.

In regard to the allegation” Staff does not ensure client was provided a meal”, It is alleged that C1 went to day program with no lunch. During interview with Administrator, and staff three (3) indicated that clients never go hungry and C1 sometimes doesn’t take lunch because it is provided at program. One (1) staff did not know because that is not his/her shift. W2 stated that the program provides lunch for clients. Two (2) clients stated they take lunch but C1 sometimes forgets. C2 stated they don’t have lunch but eats at their job (program). LPA checked food supply and there was a sufficient supply of food and snacks for clients.

“Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. A exit interview was conducted, and a copy of this report was given to licensee Danika Williams.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2026

LIC9099 (FAS) - (06/04)

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