565802405-6-3-2025-29-AS-KBUY-DJ63WP-20250630183704

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802405
Report Date: 06/03/2025
Date Signed: 06/03/2025 01:52:21 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
05/28/2025 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20250528132226

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: 3	DATE:	06/03/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Danika-Jean Lewis		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are not ensuring that resident gets an adequate amount of food while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegations listed above. LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialist Patrick Brown. Upon arrival, LPA and QAS met with staff explained the reason for the visit. Administrator Danika-Jean Lewis arrived during the visit.

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.

It was reported that staff are not ensuring that resident gets an adequate amount of food while in care as it was alleged that Staff are denying Client #1 (C1)'s requests for food. Interviews with four (4) staff members confirmed that none have witnessed any staff deny a resident food upon request.
Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025

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-20250528132226

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: 06/03/2025

NARRATIVE

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However, all (4) stated that during a recent staff meeting, management informed them that C1 had experienced a significant weight gain over a short period. As a result, staff were encouraged to offer healthier alternatives to the foods C1 frequently requested, such as chips, hot dogs, and milk. An interview with Administrator Danika-Jean Lewis revealed on 04/16/2025, that they were informed by the House Manager about C1’s weight gain. Following this notification, adjustments were made to C1’s diet to incorporate healthier food options. In addition, C1 was seen by their behaviorist, primary care physician, and a nutritionist to develop a care plan tailored to C1’s health and dietary needs.
Staff interviews also indicated that grocery shopping is typically done on Tuesday and Friday afternoons. Typically meals are served between 6am - 7am for breakfast, for Lunch between 12pm - 1pm and Dinner between 5pm - 6pm. Clients are offered snacks in between the meal times as well as upon request. During the visit, LPA and QAS observed an adequate supply of perishable and non-perishable food, all of which were properly stored. 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 “Staff are not ensuring that resident gets an adequate amount of food” 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: 06/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025

LIC9099 (FAS) - (06/04)

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