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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421703549
Report Date: 02/18/2026
Date Signed: 02/19/2026 11:14:20 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/09/2026 and conducted by Evaluator Kristin Kontilis
COMPLAINT CONTROL NUMBER: 29-AS-20260209115957
FACILITY NAME:DEVEREUX FOUNDATION - WEISMAN CENTER (RCFE)FACILITY NUMBER:
421703549
ADMINISTRATOR:ENEDILIA AVILAFACILITY TYPE:
740
ADDRESS:6960 DEVEREUX WAYTELEPHONE:
(805) 879-0338
CITY:GOLETASTATE: CAZIP CODE:
93117
CAPACITY:15CENSUS: 14DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
04:44 PM
MET WITH:Jennifer Farley, Program Director and Monica Gomez, Clinical Case ManagerTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff consuming alcohol while caring for client(s), impairing their ability to provide care, which presents a risk to client(s) in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kristin Kontilis conducted a subsequent complaint visit to issue final findings on this investigation. LPA met with Jennifer Farley, Program Director and Monica Gomez, Clinical Case Manager. LPA explained the purpose of the visit.
During the investigation, On 2/13/2026 from 12:19 pm to 3:30 pm, LPA Kontilis conducted interviews and obtained relevant documents pertaining to the investigation. Adela Cortinas, Quality Assurance Supervisor, Tri-Counties Regional Center (TCRC) accompanied LPA during the visit.
On the allegation, Staff consuming alcohol while caring for client(s), impairing their ability to provide care, which presents a risk to client(s) in care: The concern is that Staff consumed alcoholic beverages while caring for Client 1 (C1) including transporting C1 to an appointment. Interviews conducted revealed when Staff 1 (S1) transported C1 to their medical appointment in the facility vehicle, S1 stopped at a convenience store/liquor store and purchased a non-alcoholic beverage and a pastry. Interviews conducted further

Please continue to 9099-C, Pg 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
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 29-AS-20260209115957
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: DEVEREUX FOUNDATION - WEISMAN CENTER (RCFE)
FACILITY NUMBER: 421703549
VISIT DATE: 02/18/2026
NARRATIVE
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revealed when S1 stopped at the convenience store/liquor store, C1 was left unattended in the facility vehicle causing C1 to feel unsafe. During S1’s interview, S1 stated S1 realized stopping at the store was poor judgement and that the purchased item(s) could have been “misinterpreted”. S1 further stated a non-alcoholic beverage was purchased and no alcoholic beverages were purchased at that time. Although C1’s testimony has remained consistent throughout the investigation, no further corroborating evidence was obtained to prove S1 purchased or consumed alcohol. Based on the interviews conducted, the allegation that Staff consumed alcohol while caring for client(s), impairing their ability to provide care, which presents a risk to client(s) in care is Unsubstantiated at this time. The lack of supervision when S1 left C1 alone in the car will be addressed in a separate case management visit.

Exit interview conducted. Copy of report issued at the time of the visit.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
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