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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565802405
Report Date: 02/19/2026
Date Signed: 02/19/2026 01:36:19 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
02/14/2026 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20260214161849
FACILITY NAME:SAILS 50/50FACILITY NUMBER:
565802405
ADMINISTRATOR:DANIKA-JEAN LEWISFACILITY TYPE:
735
ADDRESS:1071 BALSAMO AVETELEPHONE:
(760) 631-7550
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:4CENSUS: 4DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Dasinae Jenkins TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff handled resident in a physically inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit for the allegation listed above. Upon arrival LPA met with staff and explained the reason for the visit. During the visit, LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Patrick Brown. Administrator Danika-Jean Lewis arrived shortly after.

At approx 09:30 a.m. LPA and QAS conducted physical plant, interviewed staff, and reviewed pertinent documentation relevant to the investigation.

It was reported that "Staff handled resident in a physically inappropriate manner" as It was alleged that Resident #1 (R1) was exhibiting behavioral distress and that Staff #1 (S1) intervened in a manner that was not consistent with approved Crisis Prevention Institute (CPI) training.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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-20260214161849
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: 02/19/2026
NARRATIVE
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Continued from 9099

Interviews and records review reflected  that on 02/12/2026, S1 told R1 to turn off the television because R1 had used all of their allowed viewing time. About two minutes later, S1 returned and again told R1 to turn off the television. R1 refused. S1 then took the remote control from R1’s hand and walked away from the hallway area. R1 followed S1 and moved toward another staff member in a manner described as aggressive. In response, S1 grabbed R1 in a way that was not appropriate and redirected R1 toward the fireplace. During this action, R1 lost balance and was pressed against fire place. Staff #2 (S2) then came to assist the situation. S1 and S2 then walked with R1 back to R1’s room without using any physical holds.  Interviews with nine (9) staff members who witnessed or had knowledge of the incident indicated that they believed S1’s use of physical restraint was inappropriate and not consistent with facility protocols and CPI training. An internal review by Redwood Family Care Network completed on 02/17/2026 confirmed that S1 demonstrated improper CPI use on R1. Based on the information obtained during the investigation, there is sufficient evidence to support the allegation. Therefore, the allegation that "Staff handled resident in a physically inappropriate manner" is Substantiated at this time.
 
Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to LIC 9099-D.) House Lead was informed that failure to correct the deficiency may result in civil penalties.

Administrator Danika-Jean Lewis had to leave during the visit, but stated House Lead Dasinae Jenkins can sign in their place. Exit interview conducted, appeal rights discussed and a copy of this report and appeal rights were provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20260214161849
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/20/2026
Section Cited
CCR
85100(b)
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When a client's behavior presents an imminent danger of serious injury to self or others... More restrictive interventions may be used only when less restrictive interventions are determined to be ineffective. This requirement is not met as evidenced by:
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S1 is currently on leave. Licensee agreed to review section cited and provide a statement of understanding along with a plan of how they will ensure future compliance then send to LPA via email by COB 02/20/2026.
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Based on interviews and record review, the licensee did not comply with the section cited above, as S1 restrained R1 that was not in a manner consistent with CPI training, which poses an immediate health, safety and personal rights risks to residents 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.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3