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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565802405
Report Date: 05/22/2025
Date Signed: 05/22/2025 02:22:26 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
04/24/2025 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20250424091422
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: 3DATE:
05/22/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Danika-Jean LewisTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility staff sleeping in common areas
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit for the allegations listed above. Upon arrival LPA met with staff and explained the reason for the visit. Administrator Danika-Jean Lewis arrived shortly after.
On 04/29/2025, LPA conducted the initial visit between approx 09:45 a.m. - 02:30 p.m. in conjuction with Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Ryan Landseadel and Patrick Brown. At approx 10:00 a.m. LPA and QAS conducted physical plant, interviewed staff as well as reviewed and obtained copies of pertinent documentation relevant to the investigation. On 05/21/2025, LPA reviewed an internal investigation record conducted by Redwood Quality Assurance and Training Specialist. Today LPA conducted physical plant, interviewed staff and reviewed and obtained additional pertinent documentation relevant to the investigation.
It was reported that "Staff sleeping in common areas" as it was alleged multiple staff have been observed sleeping on the couches during NOC shift.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
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 5
Control Number 29-AS-20250424091422
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: 05/22/2025
NARRATIVE
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Continued from 9099

LPA's Interview conducted with Redwood Quality Assurance Specialist, along with a review of facility records, confirmed that the facility’s internal investigation had documented an instance of staff sleeping on the couch during NOC shift on 04/21/2025. Based on the information obtained during the investigation, there is sufficient evidence to support the allegation. Therefore, the allegation that "staff were sleeping in common areas during the NOC shift" 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.) Administrator was informed that failure to correct the deficiency may result in civil penalties.
 
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: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
04/24/2025 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20250424091422

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: 3DATE:
05/22/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Danika-Jean LewisTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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9
Facility staff hit client in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit for the allegations listed above. Upon arrival LPA met with staff and explained the reason for the visit. Administrator Danika-Jean Lewis arrived shortly after.
On 04/29/2025, LPA conducted the initial visit between approx 09:45 a.m. - 02:30 p.m. in conjuction with Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Ryan Landseadel and Patrick Brown. At approx 10:00 a.m. LPA and QAS conducted physical plant, interviewed staff as well as reviewed and obtained copies of pertinent documentation relevant to the investigation. On 05/21/2025, LPA reviewed an internal investigation record conducted by Redwood Quality Assurance and Training Specialist. Today LPA conducted physical plant, interviewed staff and reviewed and obtained additional pertinent documentation relevant to the investigation.
It was reported that "Facility staff hit client in care" as it was alleged that Staff #1 (S1), used an unapproved CPI hold on Client #1 (C1) during a behavioral incident.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 29-AS-20250424091422
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: 05/22/2025
NARRATIVE
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Continued from 9099
Interviews conducted and records reviewed revealed  that on 04/16/2025, during the overnight (NOC) shift, C1 experienced a behavioral episode. During this incident, C1 struck Staff #2 (S2) in the face. Staff S1 and S2 immediately redirected C1 back to their room while Staff #3 (S3) was within the area observe and provide assistance if necessary. Once C1 appeared calmer, staff prompted C1 to sit on the bed. At that time, C1 suddenly lunged toward S1 and attempted to bite them. In response, S1 and S2 initiated a two-person seated hold using an approved supportive grip on C1’s arms. The hold lasted only a few seconds. Throughout the incident, staff provided verbal support and encouraged C1 to calm down. After a few minutes, C1 de-escalated and apologized to staff.

Interviews were conducted with eight (8) staff members. Six (6) of the (8) staff reported that they had never observed staff use any unapproved CPI holds or place their hands on a client’s neck. However, two (2) staff members reported having observed S1 place their hand around C1’s neck area. Despite these claims, a review of the facility’s internal investigation and related records did not find sufficient evidence to confirm that S1 placed their hands around any client’s neck at any time. 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 allegation “Facility staff hit client in care” is deemed Unsubstantiated at this time.

Exit interview conducted and copy of report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 29-AS-20250424091422
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: 05/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/30/2025
Section Cited
CCR
85087(a)(3)
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In addition to Section 80087, bedrooms must meet, at a minimum, the following requirements: (3) No room commonly used for other purposes shall be used as a bedroom for any person. This requirement is not met as evidenced by:
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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 05/30/2025.
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Based on interviews and record review, the licensee did not comply with the section cited above, as the facility staff were observed sleeping on a living room couch, which poses a ipotential health, safety and 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.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5