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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198203822
Report Date: 05/16/2024
Date Signed: 05/16/2024 03:01:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CRP RO, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/22/2024 and conducted by Evaluator Regina Martin
COMPLAINT CONTROL NUMBER: 34-CR-20240122090223
FACILITY NAME:DIMONDALE ADOLESCENT CARE FACILITYFACILITY NUMBER:
198203822
ADMINISTRATOR:POWELL, NAKIAFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 6DATE:
05/16/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Raven Morrow, Area Manager (Facility Representative) TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff are contributing to the delinquency of minors in care.
Staff do not prevent minors from smoking in the facility.
Staff speaks inappropriately to a minor.
INVESTIGATION FINDINGS:
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On May 16, 2024, at 2:00 PM, Licensing Program Analyst (LPA), Regina Martin met with Facility Representative for the purpose of discussing and delivering the above-mentioned allegation investigation findings.
On January 22, 2024, Community Care Licensing Division (CCLD) received a complaint referral alleging that staff are contributing to the delinquency of minors by assisting minors to obtain marijuana in the facility; staff are not preventing minors from smoking in the facility and that staff speak inappropriately to a minor. The allegation was referred to CCLD, Investigations Branch, assigned to Investigator Edward Hector. The investigation was conducted together with LPA Regina Martin.
On January 26, 2024, LPA Regina Martin conducted an unannounced complaint inspection, met with facility Lead Staff and Administrator to inform receipt of allegation, and obtained requested related records. The investigation further consists of confidential interviews and review of related facility records.
(Continued on page 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: JoAunne Griffin
LICENSING EVALUATOR NAME: Regina Martin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
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 4
Control Number 34-CR-20240122090223
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CRP RO, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245
FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY
FACILITY NUMBER: 198203822
VISIT DATE: 05/16/2024
NARRATIVE
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Based on the information obtained from confidential statements and documentary evidence, it was revealed that new staff had transported a resident to a dispensary. Confidential interviews determined that an incident report was not completed due to the incident being perceived to be a “teachable moment” training opportunity for the new staff member. Statements further reveal staff did not intentionally drive the minor to a smoke shop/dispensary, but rather, they went to an alternate location believing it was the approved destination of a 7-Eleven (convenience store). Once at the location, staff attempted to instruct minor to leave the location and requested the store staff to not sell anything to the minor due to their age. The investigation found that the incident occurred due to a miscommunication and a lack of understanding protocol by staff who were still in training. Confidential statements obtained further reveal denial that staff transport residents to obtain marijuana or allow residents to use marijuana/drugs in the facility. Statements obtained do not support reports of staff speaking inappropriately to either of the residents.

Based on confidential interviews there is not enough evidence to support reported allegations that Staff contribute to the delinquency of minors, staff do not prevent minors from smoking in the facility, or that staff speaks inappropriately to a minor. Therefore, the allegations are deemed Unsubstantiated.

There are no deficiencies per California Code of Regulations, Title 22, or Interim Licensing Standards (ILS) cited at this time.

Exit interview completed. A copy of this report was provided to Facility Representative.
SUPERVISORS NAME: JoAunne Griffin
LICENSING EVALUATOR NAME: Regina Martin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CRP RO, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/22/2024 and conducted by Evaluator Regina Martin
COMPLAINT CONTROL NUMBER: 34-CR-20240122090223

FACILITY NAME:DIMONDALE ADOLESCENT CARE FACILITYFACILITY NUMBER:
198203822
ADMINISTRATOR:POWELL, NAKIAFACILITY TYPE:
733
ADDRESS:1632 DIMONDALE DRIVETELEPHONE:
(310) 791-3064
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:6CENSUS: DATE:
05/16/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Facility RepresentativeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Record Keeping/Failure to report:
- Facility Administrator failed to document/report prior incident to Community Care
Licensing.
INVESTIGATION FINDINGS:
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On May 16, 2024, at 2:00 PM, Licensing Program Analyst (LPA) Regina Martin conducted follow-up complaint inspection to deliver finding concerning the above mention allegation. During the course of a complaint investigation, conducted by Investigator Edward Hector, a deficiency unrelated to the original complaint was observed. Information obtained from interviews revealed an incident that a new staff members transported a youth resident to a dispensary. Facility Administrator advised that an incident report was not completed due to the incident perceived to be a "teachable moment" training opportunity. Interviews conducted confirmed that staff were on "training" status at the time of the incident. Statements corroborate that staff were advised that an incident report was not needed to document the incident. Base on statements obtained the allegation of failure to report is Substantiated. This poses an potential health, safety, and personal rights risk of harm to children placed in care. The facility is issued a citation in accordance with California Code of Regulations 80061 Reporting Requirements for not reporting incident. [See page LIC9099-D for cited deficiency].
An exit interview was conducted, and appeal rights were discussed. A copy of this report, and appeal rights were provided to Facility Administrator.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: JoAunne Griffin
LICENSING EVALUATOR NAME: Regina Martin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
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 4
Control Number 34-CR-20240122090223
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CRP RO, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245

FACILITY NAME: DIMONDALE ADOLESCENT CARE FACILITY
FACILITY NUMBER: 198203822
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2024
Section Cited
CCR
80061(b)(E)
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Reporting Requirements
Upon the occurrence, during the operation of the facility, a report shall be made to the licensing agency within the agency's next working day during its normal business hours.
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Facility Area Manager states that additional training to staff members will be conducted to address concerns and protocols of Reporting Requirements. Proof of staff training including sign-in sheet and Trainer to be submited to LPA R. Martin at regina.martin@dss.ca.gov
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This requirement was not met as evidence by: Confidential interviews revealed Facility failed to document prior incident involving staff transporting youth resident to a dispensary. This poses potential health, safety, and personal rights risk of harm to children placed 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: JoAunne Griffin
LICENSING EVALUATOR NAME: Regina Martin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC9099 (FAS) - (06/04)
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