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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565800884
Report Date: 06/10/2026
Date Signed: 06/10/2026 11:18:47 AM

Document Has Been Signed on 06/10/2026 11:18 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:SIMI OAKS COUNSELING GROUPFACILITY NUMBER:
565800884
ADMINISTRATOR/
DIRECTOR:		ERNEST W. FEDERER, PHDFACILITY TYPE:
775
ADDRESS:2345 ERRINGER ST., STE 106TELEPHONE:
(805) 581-4357
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY: 50CENSUS: 40DATE:
06/10/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Ernest Federer TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20260320121114). The purpose of the visit is to issue citations for deficiencies observed during the complaint investigation unrelated to the complaint. LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Ryan Landseadel. Upon arrival at approx. 10:15 a.m. LPA and QAS met with Administrator Ernest Federer and explained the reason for the visit.

On 03/20/2026, The Department received a complaint alleging that “Staff did not prevent client from pushing someone”, “Staff did not prevent a client from punching others”, “Client sustained injuries due to staff neglect”, “Staff did not ensure client had clothing items on” and “Staff yelled at client”. It was further stated that Administrator Ernest Federer was yelling at Client #1 (C1) in frustration, escalating the situation, therefore, was asked to leave by the Police at the scene. Per the Reporting Party (RP), Administrator acted unprofessional and did not utilize proper deescalation techniques.

On 03/24/2026, LPA along with the QAS conducted an initial 10-day complaint visit to investigate the above allegation. At approximately 09:30 a.m. LPA conducted a tour of the physical plant, interviewed staff, clients, and reviewed and obtained copies of pertinent documentation relevant to the investigation. On 05/05/2026, LPA reviewed Police body cam footage of the 03/19/2026 incident between approximately 02:03:35 p.m. to 02:05:30 p.m.
NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Brian Balisi
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SIMI OAKS COUNSELING GROUP
FACILITY NUMBER: 565800884
VISIT DATE: 06/10/2026
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Information gathered during the course of the investigation reflected that on 03/19/2026, there was an incident involving C1. Police body camera footage reflected that C1 was visibly upset over the incident and Simi Valley Police Department (SVPD) officer attempting to calm C1. Footage further reflected that Administrator approaching C1 and stating “What the hell, it’s only been 20 minutes. Did any of this shit have to do with you?” C1 did not respond, looked toward the ground and continued to cry. For the next few minutes Administrator continued to ask C1 questions and make comments which visibly continued to make C1 upset. Due to C1 becoming more upset, SVPD Officer asked Administrator to step away from C1.

Review of the body-worn camera footage did not show the Administrator yelling, shouting, or speaking to C1 in a raised voice. Additionally, LPAs’ interview with eight (8) staff, including (2) staff members who were present during the incident and six (6) clients reflected that all the individuals interviewed reported that they had not observed any staff yelling at clients or speaking to clients in an unprofessional manner. Interview with the Administrator reflected that they were disappointed and frustrated with C1's actions but also stated that they cared about C1.

Based on the observation of body-worn camera footage and interviews conducted, the Administrators comments and continued interaction with C1 while C1 was visibly distressed were not consistent with maintaining a professional and supportive interaction with a client.

The following deficiencies were cited from the Title 22 California Code of Regulations. (See LIC 809-D). The Licensee was informed that failure to correct the deficiencies may result in additional civil penalties.


Exit interview conducted, appeal rights discussed, and a copy of this report was provided
NAME OF LICENSING PROGRAM MANAGER: Desaree Perera
NAME OF LICENSING PROGRAM ANALYST: Brian Balisi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/10/2026 11:18 AM - It Cannot Be Edited


Created By: Brian Balisi On 06/10/2026 at 10:29 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: SIMI OAKS COUNSELING GROUP
FACILITY NUMBER: 565800884

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/11/2026
Section Cited
CCR
82072(a)(3)

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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule...or withholding of shelter, clothing, medication, or aids to physical functioning.
This requirement was not met as evidenced by:
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Licensee agreed to review section cited and provide a written plan to ensure future compliance then send to LPA via email by COB 06/11/2026.
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Based on interviews and records reviewed, licensee did not comply with the cited regulation. Their interactions and comments toward C1 were not consistent with maintaining a professional / supportive approach. which posed an immediate personal rights risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Desaree Perera
NAME OF LICENSING PROGRAM MANAGER:
Brian Balisi
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2026


LIC809 (FAS) - (06/04)
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