565802405-1-7-2026-29-AS-DPEA-DQQUXY-20260127145907

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802405
Report Date: 01/07/2026
Date Signed: 01/07/2026 02:22:01 PM

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
01/02/2026 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20260102084103

FACILITY NAME:	SAILS 50/50		FACILITY NUMBER:	565802405
ADMINISTRATOR:	DANIKA-JEAN LEWIS		FACILITY TYPE:	735
ADDRESS:	1071 BALSAMO AVE		TELEPHONE:	(760) 631-7550
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	4	CENSUS: 4	DATE:	01/07/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Danika-Jean Lewis		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not attend to the client’s injury in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit for the allegation listed above. At approx 09:45 a.m. LPA met with House Manager Kassima and explained the reason for the visit. Administrator Dannika Jean-Lewis arrived shortly after.

Between 09:45 a.m. - 02:30 p.m., LPA conducted physical plant, interviewed staff, clients and reviewed and obtained copies of pertinent documentation relevant to the investigation.

It was reported that "Staff did not attend to the client's injury in a timely manner, as it was alleged that Client #1(C1) was observed sitting in a vehicle with a visible cut on their hand that was wrapped in a T-shirt, and that staff did not provide timely assistance. Interviews and a records review indicate that on 12/24/2025, Staff #1(S1) and Staff #2 (S2) took C1 on a car ride. After parking the vehicle, S1 and S2 became involved in a verbal dispute with two (2) individuals from a neighboring residence regarding a parking space.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

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-20260102084103

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: SAILS 50/50	FACILITY NUMBER: 565802405
	VISIT DATE: 01/07/2026

NARRATIVE

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Continued from 9099

A review of client records shows that C1 had a cast on their left hand beginning on 12/04/2025. Additionally, according to C1’s Individual Program Plan (IPP), C1 enjoys going on car rides and typically goes on car rides at least three (3) times per day. During the parking dispute, C1 did not sustain any new injury to either hand. C1 declined to exit the vehicle and expressed a desire to continue the car ride. Staff subsequently redirected C1 back into the residence. Once inside the home, no health or safety concerns were observed. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations "Staff did not attend to the client's injury in a timely manner " has been deemed Unsubstantiated at this time.

Administrator had to leave during the visit, but stated Modeste Lolekola can sign in their place.

Exit interview conducted and copy of report issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026

LIC9099 (FAS) - (06/04)

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