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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198207916
Report Date: 03/02/2023
Date Signed: 03/02/2023 05:53:06 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, 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
12/16/2022 and conducted by Evaluator Daphne Edison
COMPLAINT CONTROL NUMBER: 34-CR-20221216153842
FACILITY NAME:FIRST PLACE FOR YOUTHFACILITY NUMBER:
198207916
ADMINISTRATOR:KUGELBERG, JAMIEFACILITY TYPE:
726
ADDRESS:3530 WILSHIRE BLVD, STE.600TELEPHONE:
(213) 835-2700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90010
CAPACITY:250CENSUS: 145DATE:
03/02/2023
UNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:Lamont Walker-Regional Director of ProgramsTIME COMPLETED:
03:16 PM
ALLEGATION(S):
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Youth is not given privacy
INVESTIGATION FINDINGS:
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On March 2, 2023 at 2:09pm, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to First Place for Youth and spoke with Lamont Walker, Regional Director of Programs. The purpose of this visit was to deliver the findings for the above complaint allegation.

During the investigation, a total of one (1) witness, three (3) Non-Minor Dependents, and three (3) staff were interviewed. Confidential interviews and inconsistent statements made by staff, witnesses, and Non-Minor Dependent #1 (NMD1) did not substantiate the allegation, Youth is not given privacy. Statements made by S1 and NMD1 did not confirm that NMD1 was not dressed when S1 entered NMD1’s bedroom. Confidential interviews revealed upon inspection of NMD1’s unit, multiple alcohol bottles were observed by S1 and the smell of marijuana in the unit. Additional confidential staff interviews also revealed NMD1 violated the program agreement on illegal activities/drug use/ alcohol use. Documentary evidence revealed S1 training on conducting unscheduled visits to participant units and notice of NMD1’s notice of lease violation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lakescia SmithTELEPHONE: (424) 301-3025
LICENSING EVALUATOR NAME: Daphne EdisonTELEPHONE: 424-301-3087
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
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 2
Control Number 34-CR-20221216153842
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245
FACILITY NAME: FIRST PLACE FOR YOUTH
FACILITY NUMBER: 198207916
VISIT DATE: 03/02/2023
NARRATIVE
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LPA obtained SIR’s #835286 and #837766, training log for unscheduled visits, NMD1 notice of lease violation, photos of alcohol bottles in NMD1 apartment, and NMD1 signed program agreement including substance abuse policy. Based on the interviews conducted and documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegation. LPA Edison was not able to determine if the above said allegation occurred, therefore the allegation is determined to be unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred.

Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

Exit interview was conducted, and a copy of this report will be emailed to the Regional Director of Programs.
SUPERVISOR'S NAME: Lakescia SmithTELEPHONE: (424) 301-3025
LICENSING EVALUATOR NAME: Daphne EdisonTELEPHONE: 424-301-3087
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2