<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565800394
Report Date: 02/17/2022
Date Signed: 02/17/2022 04:15:51 PM

Substantiated


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
12/21/2020 and conducted by Evaluator Kasandra Lopez
COMPLAINT CONTROL NUMBER: 29-AS-20201221142434
FACILITY NAME:BROWN BOARD & CAREFACILITY NUMBER:
565800394
ADMINISTRATOR:BETTINA BROWNFACILITY TYPE:
735
ADDRESS:1337 W. HILL STREETTELEPHONE:
(805) 483-9618
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:10CENSUS: 9DATE:
02/17/2022
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Bettina BrownTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Illegal eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced subsequent complaint inspection to deliver the above findings. The LPA met with Administrator Bettina Brown and explained the reason for the visit.

During the initial 10-day virtual inspection on 12/30/2020, the LPA conducted an interview with Administrator Bettina Brown at 9:30 AM and conducted a virtual physical plant tour. Prior the inspection on 12/30/2020, the LPA also conducted telephone interview with Client #1 (C1) and with Individual #1 (I1). Interviews revealed the Administrator evicted C1 without giving C1 proper notice after a verbal altercation between the Administrator and C1. The Administrator stated C1 made a verbal threat to the Administrator and they felt the health and safety of the Administrator and the other clients in the home was in jeopardy by allowing C1 to continue to reside in the facility.

Report continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Kasandra Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
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 3
Control Number 29-AS-20201221142434
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: BROWN BOARD & CARE
FACILITY NUMBER: 565800394
VISIT DATE: 02/17/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the information obtained, there is sufficient evidence to support the allegation of Illegal eviction occurred. Therefore, the allegation is substantiated. Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 9099-D).

Exit interview conducted and the report and deficiency was discussed with the Administrator. A copy of the report was emailed.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Kasandra Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20201221142434
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: BROWN BOARD & CARE
FACILITY NUMBER: 565800394
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/22/2022
Section Cited
CCR
85068.5
1
2
3
4
5
6
7
85068.5 Eviction Procedures (a)(b)The licensee shall be permitted to evict a client by serving the client with a 30-day written notice to quit for any of the following reasons:… The licensee shall be permitted to evict a client by serving the client with a three-day written notice to quit ....:…This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Administrator shall review regulation 85068.5 and submit a written memo of understanding to CCL by 2/22/2022.
8
9
10
11
12
13
14
Based on interviews, the licensee failed to comply with the section cited above as the licensee failed to issue C1 a 30 day or 3 day written eviction notice prior to eviction which is an immediate personal rights violation to C1 in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Desaree Perera
LICENSING EVALUATOR NAME: Kasandra Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3