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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425802125
Report Date: 07/22/2025
Date Signed: 07/22/2025 12:25:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
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 Nancy O'Connell
PUBLIC
COMPLAINT CONTROL NUMBER: 31-CR-20250401154507
FACILITY NAME:4 KIDS 2 KIDS-SAFE HOUSE (STRTP)FACILITY NUMBER:
425802125
ADMINISTRATOR:MARYLOU ESCOTOFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 3DATE:
07/22/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Bernadette Rivera, facility therapist TIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility does not have a licensed therapist
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/22/25, at 9:30am, Licensing Program Analyst (LPA) Nancy O’Connell made an unannounced inspection to the above facility for the purpose of concluding a follow-up investigation on the above allegation and deliver the findings. LPA spoke with Bernadette Rivera, facility therapist and together, discussed the investigative finding.
During the investigative process by Licensing program Analyst (LPA), Nancy O’Connell met with Tx1, FC1, and FC2 See Confidential names list, dates 7/22/25, for names. All relevant parties have been accounted for. During the investigative process, LPA obtained information regarding all staff working within the facility and organization. Statements obtained did not support a lack of clinical support. Further, upon review of the current program statement relating to clinical services, it was found that unlicensed clinicians may provide clinical services to clients in care as long as they are supervised by a licensed clinican.
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.
No deficiencies are being cited at this time.
Exit Interview conducted, and an electronic copy of this report was left at the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin C Sauk
LICENSING EVALUATOR NAME: Nancy O'Connell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
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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