565801257-10-30-2025-29-AS-KHEN-DNRNQT-20251125094026

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801257
Report Date: 10/30/2025
Date Signed: 10/30/2025 02:12:55 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
09/05/2025 and conducted by Evaluator Quoc Huynh

COMPLAINT CONTROL NUMBER: 29-AS-20250905094951

FACILITY NAME:	EJ2 FAMILY HOME		FACILITY NUMBER:	565801257
ADMINISTRATOR:	MARIA MIRANDA		FACILITY TYPE:	735
ADDRESS:	1210 NELSON PLACE		TELEPHONE:	(805) 271-9449
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	6	CENSUS: 6	DATE:	10/30/2025
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Maria Miranda - Administrator		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Staff did not prevent a resident from sexually abusing another resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced subsequent complaint visit to deliver findings for the above allegation. LPA arrived at 1:50PM, met with Administrator Maria Miranda who arrived shortly thereafter and explained the reason for the visit. Entrance interview conducted.

On 09/08/2025, LPA conducted an initial complaint visit. Between 10:33AM and 11:47AM, LPA conducted a safety check tour, reviewed and obtained pertinent documents, and interviewed one (1) resident and two (2) staff.

On 09/18/2025, LPA Huynh conducted a subsequent visit. Between 1:13PM and 2:30PM, LPA conducted a safety check tour and interviewed one (1) resident and two (2) staff.

During today’s visit, the LPA and Staff conducted a brief safety tour at 1:53PM, and no immediate concerns were observed. The following was then determined:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025

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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Control Number 29-AS-20250905094951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: EJ2 FAMILY HOME	FACILITY NUMBER: 565801257
	VISIT DATE: 10/30/2025

NARRATIVE

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Allegation: “Staff did not prevent a resident from sexually abusing another resident.”

It was reported that Resident #1 (R1) was sexually abused by Resident #2 (R2) on 09/02/2025 and 09/03/2025. Subsequently, it was also reported that R2 was sexually abused by R1 on 09/03/2025. Interview with five (5) Staff and the Administrator revealed that R1 and R2 were good friends and commonly known to spend time together in their bedrooms or in the living room. When R1 and R2 were together in their bedrooms, Staff instructed them to leave the door open. Staff monitor Residents frequently, and two (2) Staff reported that R1 and R2 are known to be loud; when it becomes unusually quiet, Staff immediately check on them.

Staff noted both residents enjoy each other’s company and refer to each other as their siblings and best friends. Staff observed R1 and R2 to converse, watch TV, and give each other massages when they are together. Staff stated that neither Resident had a history of sexual or inappropriate behavior, their interactions have been mutual, and without complaints. Additionally, Staff noted both Residents were always clothed when together.

R1 denied inappropriately touching R2 but claimed that R2 touched R1’s private area on both days. When asked about consent, R1 stated they initially did not give consent, but R2 assured they would not get in trouble, and R1 then allowed R2 to touch them. Staff #1 (S1) observed the Residents together on 09/03/2025 and instructed R2 to return to their bedroom, which R2 did compliantly. R1 claimed to have reported the inappropriate behavior to S1; however, S1 stated they were not informed of any incidents, and Progress Notes did not indicate any reports. R2 denied the allegation of either Resident sexually abusing one another and stated R2 did not touch R1 and vice versa.

R1’s Tri-Counties Regional Center (TCRC) Quarterly Report dated 08/19/2025 and Individual Program Plan (IPP) dated 03/09/2023 revealed that R1 had manipulative tendencies, a history of making allegations and fabricating stories, and one (1) incident of inappropriate touching during that quarter.

Report Continued LIC 9099-C

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20250905094951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: EJ2 FAMILY HOME	FACILITY NUMBER: 565801257
	VISIT DATE: 10/30/2025

NARRATIVE

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R2 was admitted to the facility on 03/24/2025. R2’s TCRC Quarterly Report dated 08/19/2025 and IPP dated 04/08/2022 indicated that when R2 is upset, they call law enforcement or Crisis Support Services. The reports noted that the allegations made by R2 often did not occur. R2’s records did not indicate a history of inappropriate behaviors.

The facility’s Progress Notes documented ten (10) incidents in which Staff observed R2 in R1’s bedroom between 03/24/2025 and 09/11/2025. On 04/17/2025, R1 was observed massaging R2’s chest; however, both residents reported that they were “okay.” Each subsequent incident did not indicate inappropriate behavior. Progress Notes did not document any incident on 09/02/2025. On 09/03/2025, S1 documented that Resident #3 (R3) reported R2 in R1’s bedroom. S1 immediately responded and observed both Residents lying in the bed. S1 then instructed R2 to return to their bedroom and directed both Residents to rest. No further incidents were reported.

Based on interviews and record review, R1 and R2’s interactions were consistently observed to be mutual and friendly, with no prior history of unsolicited behavior. Inconsistent reports and documented behavioral histories suggest the encounters were consensual and not indicative of abuse.

Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

The LPA reviewed supervision policies with the Administrator with the goal of educating Staff, preventing future allegations, and to ensure the health, safety, and personal rights of Residents in care.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Quoc Huynh
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2025

LIC9099 (FAS) - (06/04)

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