facility_name: ROSELYN'S SMALL FAMILY HOME

raw_content:
Narrative:
Based on confidential interviews, the Department determined there was not sufficient information to determine that FM's behavior poses a risk to FC1 in care. Although the allegation may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegation. The Department's finding was that this allegation is unsubstantiated. A copy of this report and confidential name list LIC 811 was given to licensee

Investigation Findings:
13On June 24, 2022, Licensing Program Analyst (LPA), Babatunde Aborchie arrived at Roselyn Small Family Home to deliver investigative findings involving the small family home. LPA met with licensee Roselyn Isigi. On April 18, LPA arrived at the small family home to initiate the allegation and conducted interviews with foster mother (FM), and foster child 1 (FC1). LPA was unable to interview FC2 due to FC2's developmental age. Additionally, LPA interviewed County Social Worker. On April 12, 2022 a complaint report was referred to Community Care Licensing (CCL) alleging Foster parent behavior poses a risk to a minor while in care. It was specified that FM dropped off FC1 unaccompanied by an adult. A confidential interview stated not knowing FC1 was not to be unaccompanied by an adult at the school party. A confidential interview also stated not to have received a notification regarding drop off process. Another confidential interview stated that FM was notified to accompany FC1 at the party. A confidential witness stated that FM provided great care to FC1 and that FM needed to be organized. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 06/24/2022

met_with: Licensee


state: CA

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
In regard to the allegation, it was specifically stated that FC1 has a foul body odor, FC1's hair is greasy, and Fc1's fingernails are dirty. During investigation, a confidential interview denied not meeting FC1's hygiene needs. Confidential interview disclosed that the heat during summer might cause FC1 to sweat. A confidential witness believed that FM took good care of FC1 and did not observe that FM did not meet FC1's hygiene needs. Based on confidential interviews, the Department determined there was not sufficient information to determine if FM did not meet foster child's hygiene needs in care. Although the allegation may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegation. The Department's finding was that this allegation is unsubstantiated. A copy of this report and confidential name list LIC 811 was given to licensee

Investigation Findings:
13On January 26, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Roselyn Small Family Home to deliver investigative findings involving the small family home. LPA met with foster mother (FM) Roselyn Isigi. On August 25, LPA arrived at the small family home to initiate the allegation and conducted interviews with foster mother (FM), and foster child 1 (FC1). Additionally, LPA interviewed County Social Worker (CSW) On April 18, 2022 a complaint report was referred to Community Care Licensing (CCL) alleging foster parent did not meet foster child's hygiene needs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/26/2023

report_type: Complaint Investigation

complaint_status: unsubstantiated


raw_content:
Narrative:
Regarding the allegation that licensee did not pick up sick foster child from school in a timely manner, it was specifically alleged that licensee did not pick up FC1 from school when FC1 was sick. During investigation, confidential interview stated that L1 attempted to get to school to pick up FC1 but had taken L1's van to the shop because it needed vehicle repairs. It was added that L1 attempted to rent a vehicle that would accommodate FC1's wheelchair. Additional confidential interviews corroborated that L1 was trying to pick up FC1 from school, but the van was in the shop causing an unintentional delay in getting FC1 home from school. The school was able to work with L1 by providing school bus transportation. In regard to the allegation that licensee did not seek medical attention for foster child in a timely manner. It was specifically alleged that L1 did not take FC1 to doctor in a timely manner. Confidential interview stated that after L1 received their car back from the vehicle repair shop, FC1 was taken to urgent care the same day. Additional confidential interviews corroborated that L1 took FC1 to the emergency room on the same day. Based on confidential interviews, the allegations that licensee did not pick up sick FC1 from school in a timely manner and licensee did not seek medical attention for FC1 in a timely manner may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegations stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated September 25, 2024. On March 06, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. On February 23, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee did not pick up sick foster child from school in a timely manner and licensee did not seek medical attention for foster child in a timely manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024

met_with: Licensee- Roselyn Isigi


raw_content:
Narrative:
Regarding the that licensee does not ensure youth receives transportation for medical appointments, it was specifically alleged that Licensee has not taken FC1 to the optometrist. During investigation, confidential interview stated that licensee has taken FC1 and FC2 to their appointments. It was added that they had not missed any appointments. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegations that licensee does not ensure FC1 receives transportation for medical appointments may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegation stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated September 26, 2024. On April 26, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. On April 17, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not ensure youth receives transportation for medical appointments. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024


raw_content:
Narrative:
Regarding the allegation that licensee does not meet a minor's dietary needs, it was specifically alleged that licensee does not provide appropriate snacks for FC1. During investigation, confidential interview stated that L1 checked with a website for appropriate foods for FC1's dietary needs. Additional confidential interviews stated that FC1 was given different foods that FC2 and FC3 due to their dietary needs. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. In regard to the allegation that licensee mishandles a minor's medications, it was specifically alleged that FC1 stated they ran out of medicine at home and the licensee had not refilled FC1's prescription. Confidential interviews stated that FC1 had arrived at the home with enough medicine for a while but would use it more often because FC1 would have unhealthy foods at school that would affect FC1. It was added that licensee worked with FC1's doctor to get more medicine. Additional confidential interviews stated that they didn't know if FC1 ran out of medicine. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Furthermore, the allegation that licensee does not communicate effectively, it was specified alleged that the licensee does not respond to the phone calls from the school. Confidential interviews stated that L1 tries having good communication with the school but that some of the staff give L1 a hard time. It was added that L1 does call the school back when she misses a call. An additional confidential interview corroborated that some of the school staff give L1 a hard time. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Finally, the allegation that licensee has not completed required documents for a minor, it was specifically alleged that licensee has not signed important paperwork regarding a safety plan for FC1. Confidential interviews stated that L1 had filled out all paperwork at the parent center in Corona. Other information obtained stated that the allegation is true. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegations that licensee does not meet FC1's dietary needs, licensee mishandles FC1's medications, licensee does not communicate effectively, and licensee has not completed required documents for FC1 may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegations stated above involving the SFM's staff and foster children (FC1, FC2 and FC3) as listed on the Confidential Names List (LIC 811) dated September 26, 2024. On May 02, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC2 and FC3. LPA was unable to interview FC1 due to FC1 refusing to be interviewed. On April 26, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not meet a minor's dietary needs, licensee mishandles a minor's medications, licensee does not communicate effectively, and licensee has not completed required documents for a minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024


raw_content:
Narrative:
Regarding the allegation that licensee does not provide minor with privacy, it was specifically alleged that FC1 found a hidden camera in the fire alarm in FC1's bedroom. During investigation, confidential interview stated that there are no cameras in any of the bedrooms. It was added that FC1 thought the little light on the fire alarm was a camera. Additional confidential interviews corroborated that there weare no cameras in the bedrooms. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. In regard to the allegation that licensee does not provide a safe environment for minor in care. It was specifically alleged that licensee comes home smelling like alcohol and makes untrue statements about drinking alcohol. Confidential interviews denied that L1 drinks alcohol. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Concerning the allegation that licensee does not provide foster child with adequate clothing, it was specified alleged that licensee only purchased FC1 three outfits to wear. Confidential interviews stated that L1 has bought FC1 and the other foster children enough clothes to wear. Additional confidential interviews stated that L1 bought them the clothes they wanted. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Based on confidential interviews, the allegations that licensee does not provide FC1 with privacy, licensee does not provide a safe environment for FC1 in care and licensee does not provide FC1 with adequate clothing may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegations stated above involving the SFM's staff and foster children (FC1, FC2 and FC3) as listed on the Confidential Names List (LIC 811) dated September 26, 2024. On May 02, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC2 and FC3. LPA was unable to interview FC1 due to FC1 refusing to be interviewed. On April 30, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not provide minor with privacy, licensee does not provide a safe environment for minor in care and licensee does not provide foster child with adequate clothing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024


raw_content:
Narrative:
Finally, the allegation that licensee yells at minors, it was specifically alleged that licensee yells at them once or twice a week. Confidential interviews stated that L1 does not yell at FC1 or FC2. Additional confidential interviews stated that L1 did yell at them. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegations that licensee does not help FC1 use the restroom, licensee does not feed FC1 breakfast; licensee is not ensuring FC1's hygiene needs are met; licensee is not sending special diet snacks to school for FC1 and that licensee yells at FC1 may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative. Regarding the allegation that that licensee does not help minor use the restroom, it was specifically alleged that licensee would not let FC1 use the bathroom at home. During investigation, confidential interviews stated that L1 helps FC1 use the bathroom in the mornings. The confidential interview added that one day while FC1 was waiting for the bus FC1 asked to use the restroom. L1 stated L1 would take FC1 to school because FC1 was going to miss the bus. When the bus arrived FC1 stated FC1 did not have to use the restroom anymore. Additional confidential interviews stated that L1 does help FC1 use the restroom every morning. LPA was unable to gather additional information. In regard to the allegation that licensee does not feed minor breakfast, it was specifically alleged that licensee does not give FC1 breakfast. Confidential interviews stated that L1 makes FC1 and FC2 breakfast every morning prior to going to school. Additional confidential interviews stated L1 would feed them eggs, bacon, toast, and hash browns. LPA was unable to gather additional information. Concerning the allegation licensee is not ensuring minor's hygiene needs are met, it was specified alleged that FC1 looks like FC1 had not bathed in a couple days. Confidential interviews stated that L1 bathes FC1 every morning. Additional confidential interview stated that L1 does not shower FC1 that L1 takes FC1 a bath. LPA was unable to gather additional information. Furthermore, the allegation that licensee is not sending special diet snacks to school for minor, it was specified alleged that the licensee does not always send FC1 with snacks to school. Confidential interview stated that L1 sends FC1 and FC2 to school with a variety of snacks. It was added that FC1 has a good appetite. LPA was unable to gather additional information.

Investigation Findings:
13On October 03, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the finding for the allegations stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated October 03, 2024. On September 22, 2023, Community Care Licensing (CCL) received a complaint alleging that licensee does not help minor use the restroom, licensee does not feed minor breakfast, licensee is not ensuring minor's hygiene needs are met, licensee is not sending special diet snacks to school for minor and that licensee yells at minors. On September 27, 2023, LPA Aborchie initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/03/2024


raw_content:
Narrative:
Regarding the alleging that licensee hit child with an object, it was specifically alleged that L1 aggressively threw a device at FC1 and hit FC1. During investigation, a confidential interview stated that L1 was talking to FC1 about FC1 breaking L1's Alexa device and that it fell out of L1's hand and it accidentally hit FC1 in the arm. An additional confidential interview stated that L1 did not throw the Alexa device at FC1. Additionally confidential interviews stated that L1 was throwing the Alexa device to the floor and that FC1 got in the way. LPA received conflicting information. Based on confidential interviews, the allegation that licensee hit FC1 with an object may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On October 03, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee (L1) Roselyn Isigi to deliver the finding for the allegation stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated October 03, 2024. On September 04, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee hit child with an object. On September 11, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/03/2024


summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera met with licensee Mrs. Isigi, who granted access to the home. The purpose of this visit is to conduct an annual inspection of the small family home. The home was toured both inside and out with Mrs. Isigi. Presently there are three foster children in placement and all three were present during time of inspection (See LIC 811). The home is a two story with five bedrooms and three bathrooms. The home is set up as follows: Bedroom #1- downstairs- Master bedroom was furnished with two twin beds, one crib and a bathroom- Sleeps licensee and infant (C1). Bedroom #2- downstairs- The room consists of two separate twin beds- Sleeps one child (C2) Bedroom #3- downstairs- The room was furnished with two twin separate beds- Sleeps only bedridden child (C3) Bedroom #4- upstairs- The room consist of one queen bed- vacant Bedroom #5- upstairs -extra bedroom- no bed or furniture- vacant Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. Inside the facility there is an operable smoke detector located downstairs. There is also an operable carbon monoxide detected located downstairs and upstairs in the hallways and all five bedrooms. The fireplace is properly screened. The medications are locked and stored in a locked box inside a locked medicine cabinet. Cleansers/chemicals are locked and stored in a locked cabinet inside the garage. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the kitchen and contains all required items. There are no guns or weapons as stated by Mrs. Isigi at this time. The hot water temperature was tested and noted to be 119. Proper storage of all food was noted. The Emergency Disaster Plan posted at this time. A copy of the license was readily available to LPA during time of inspection. The backyard where children will have access to play is completely fenced and free of hazards. The home has a pool that is appropriately fenced. The fence is a 5-foot tall wrought iron fence that completely surrounds the pool. The gate is self-latching and open outward with the latch located at least 54 inches from the ground. There are no windows that access the pool. Toys are safe, clean and age appropriate for the age group of children to be cared for both inside and outside the facility. The Licensee(s) meet the requirements for the 8 hours of annual foster care training. Licensee's First Aid and CPR cards expire on July 03, 2022. A review of staff records on this date indicates that all adults residing in the home or providing care and supervision to children have received fingerprint and child abuse index check clearances. There were no deficiencies cited at this time. Exit interview conducted and a copy of this report was reviewed and given to Mrs. Isigi along with the LIC 811.

report_type: Facility Evaluation

visit_type: Annual

met_with: Roselyn Isigi


summary: Facility Evaluation

raw_content:
Narrative:
On May 31, 2023 at 10:17AM, Licensing Program Analyst (LPA) Karen Beal met with licensee Roselyn Isigi, who granted access to the home. The purpose of this visit is to conduct an annual inspection of the small family home. The home was toured both inside and out with Mrs. Isigi. Presently there is one child in placement and the child was not in the home at the time of inspection. (See LIC 811). The home is a two story with five bedrooms and three bathrooms. The home is set up as follows: Bedroom #1- downstairs- Master bedroom was furnished with two twin beds. The bedroom is currently vacant. Bedroom #2- downstairs- The room consists of two separate twin beds. The room is currently vacant. Bedroom #3- downstairs- The room was furnished with two twin separate beds- Sleeps client 1 (C1). Bedroom #4- upstairs- The room consist of one queen bed- Sleeps the licensee (S1). Bedroom #5- upstairs -extra bedroom- no bed or furniture- vacant Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. Inside the facility there is an operable smoke detector located downstairs. There is also an operable carbon monoxide detected located downstairs and upstairs in the hallways and all five bedrooms. The fireplaces are blocked with electric fireplaces. The medications are locked and stored in a locked box inside a locked file cabinet. Cleansers/chemicals are locked and stored in a locked cabinet under the sink. Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit is located in the common area outside of the kitchen and contains all required items. There are no guns or weapons as stated by Roselyn Isigi at this time. The hot water temperature was tested and noted to be 119. Proper storage of all food was noted. The Emergency Disaster Plan, license and personal rights are posted at this time during time of inspection. The backyard where children will have access to play is completely fenced and free of hazards. The home has a pool that is appropriately fenced. The fence is a 5-foot tall wrought iron fence that completely surrounds the pool. The gate is self-latching and open outward with the latch located at least 54 inches from the ground. the pool gate is currently pad locked. The pool is operational but currently not in use. There are no windows that access the pool. The home has two side gates that latches to keep the gates closed. The Licensee(s) meet the requirements for the 8 hours of annual foster care training. Licensee's First Aid and CPR cards expires July 2024. A review of staff records on this date indicates that all adults residing in the home or providing care and supervision to children have received fingerprint and child abuse index check clearances. There were no deficiencies cited at this time. Exit interview conducted and a copy of this report was reviewed and given to Mrs. Isigi along with the Lic 811

met_with: Roselyn Isigi, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On December 21, 2023, at 10: AM, Licensing Program Analyst (LPA) Babatunde Aborchie began a facility inspection for a Small Family Home capacity increase. LPA met with applicant Roselyn Isigi who led a tour of the home. The facility was toured both inside and out with the applicant. The applicant was applying for a capacity increase of 6 non-ambulatory developmentally disabled clients. The home was a two story home and was set up as follow: Downstairs: Bedroom #1- Master bedroom was furnished with two twin beds. The bedroom was vacant. Bedroom #2 - The room consisted of two twin hospital beds. It sleeps one client. Bedroom #3 - The room was furnished with two twin hospital beds - Sleeps one client. There were also an office, a visitor lounge, a family room, a living room, two dining areas, a pantry, a kitchen and two bathrooms. Upstairs: Bedroom #4 - The room consist of one queen bed- Sleeps the licensee. Bedroom #5 - The room was furnished with no bed or furniture - vacant. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom served as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked and were working properly. There was one family room, a playing/therapy area and one living room next to the front entrance which was also designated to visitation. There was an approved fire door installed between the living area and the clients' rooms. There was also another approved fire door at the master bedroom. Fire extinguisher was located by the living room. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the kitchen cabinet. Cleansers/chemicals were locked and stored in the garage by the laundry area. The master bedroom door will always be locked when there were children present. Sharp knives were inaccessible and stored in a locked kitchen cabinet. There were no guns or weapons as stated by licensee at this time. The hot water temperature was tested and noted to be 112 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The backyard was observed to be clean and free of hazards. Toys and sports equipment were observed at this time for the age group of children to be cared for. Emergency Disaster Plan with exit map, visitation plan and Facility Sketch and Personal Rights were posted. The backyard was fenced with a wrought iron self-closing fence surrounding the pool. The access gate swings away from the body of water. The height of the wrought iron fence is 60", spacing horizontal bars is 5.8" apart, and it was 2" from the ground on hard surface. Based on this inspection, the home is appropriate for a capacity increase of six non-ambulatory clients. The home was following tittle Regulations. The request for capacity increase to six non-ambulatory clients will be forwarded to Licensing Program Manager for final approval. Exit interview conducted and a copy of this report was discussed and provided this date to Roselyn Isigi.

visit_type: Case Management


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On 04/15/25, LPA Martinez conducted a collateral interview with the county social worker (R2) assigned to Client 1 (C1). On 04/21/25, LPA Martinez interviewed Client 1 (C1) at the facility and also interviewed the facility administrator (R2). On 05/13/25, LPA Martinez interviewed Client 2 (C2) at their school to document their perspective on care provided in the home. Additionally, three attempts were made to contact the county social worker (R3) for C2; however, LPA Martinez was unable to obtain a statement. (Reference Confidential Names Form LIC 811, dated August 26, 2025). The Department received a complaint alleging that the licensee of a Small Family Home failed to meet the youth's hygiene, emotional, and dietary needs. R1 reported that all children have access to their own hygiene supplies and receive reminders or assistance with bathing and brushing teeth when necessary. The administrator explained that emotional needs are supported through daily check-ins, staff trained in trauma-informed care, and referrals to therapists when needed. The administrator also stated that meals are balanced and snacks are available. Two (2) out of Two (2) youth were interviewed for the investigation. One youth stated that they have been living with R1 for over five years and described their daily routine as waking up, dressing, eating breakfast, and attending school. Two youth confirmed that hygiene supplies are provided, and assistance is available if needed. Two youth reported that there is always plenty of food in the home and that snacks are available between meals. Two youth described not feeling unsafe or uncomfortable, and reported that staff are always available to meet their needs. These accounts were consistent in describing access to hygiene, food, and emotional support, and no discrepancies were noted across the interviews. Based on the interviews conducted, the allegations that the licensee failed to meet a youth's hygiene, emotional, and dietary needs are unsubstantiated. The administrator described systems in place to address these areas of care, and the youth's statements corroborated access to hygiene supplies, adequate meals, and supportive staff. The youth further expressed feeling safe and happy in the home. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 08/26/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Small Family Home (SFH). LPA Martinez met with the facility representative named above. The inspection aims to deliver the finding for the above allegation(s). On 04/14/25, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Provider is not meeting foster child's hygiene needs Provider is not meeting minor's dietary needs Provider is not meeting minors emotional needs LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 08/26/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Juliet Robles conducted a virtual Component II session with Roselyn Small Family Home on January 23, 2025 at 3: PM via Microsoft Teams. LPA met with the applicant, Roselyn Isigi. The purpose of the meeting was to review and discuss the program statement and application. LPA introduced herself and started the meeting with asking licensee what is her reason for relocating. Licensee stated that where she lives currently is expensive and she was able to buy a house in Bakersfield with a much reasonable amount than in Norco. LPA asked licensee where she anticipates placements of clients from. Licensee stated whatever place that they can give clients like Regional Center and Bakersfield County. LPA told licensee an over concentration letter was submitted in the city zoning department last 12/23/24 and SELPA letter to schools about a new SFH facility will be opening in the area. LPA had asked licensee to re-submit documents with original signatures, with the new facility#157807024 and input the new location address in Bakersfield. · LIC 200-change the box 12A.... · Driver's License -a copy · LIC 308 · LIC 400 · LIC 402 · LIC 215 · LIC 501 · LIC 610-missing information on: IV. Temporary relocation sites: V. Utility Shut Off; VI. First Aid Kit; VII. Equipment.... Facility Program Statement Description needed to add: · grounds for dismissal/eviction/relocation/ removal of client from placement · Child Abuse Reporting Procedures. · sample of meals to include Saturday and Sunday and ensure the size/portions of food is noted on the menu. · Client's use of telephone for emergency and non-emergency.... · CCL Reporting Procedures · Sign In & Out procedures: · Please add video cameras addendum if using door cameras - inside and outside of small family home. See PIN 24-09-CRP for guidance. 1) Please add a section about Organization chart (line of Supervision) with Job Descriptions: 2) Duties and responsibilities of: * Administrator/Licensee * Caregiver sub/Assistant/Staff * In-Service training- like topics covered, how will training be documented, how often will-in service be held? * Who will be providing the training? LPA advised the licensee that all revisions and documents need to be submitted on or before 01/31/25. The Pre-licensing will take place on Tuesday, January 28, 2025. LPA advised the licensee that all documents and program statement revisions will be reviewed by her manager LPM Yan Yeung. Exit interview was conducted and a copy of this report was emailed to Roselyn Isigi.


summary: Facility Evaluation

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Narrative:
On January 28, 2025 at approximately 1: PM, Licensing Program Analyst (LPA) Juliet Robles conducted an announced pre-licensing inspection at the above address. The licensee is relocating her Small Family Home Program from Norco to Bakersfield. Upon arrival, LPA met with Roselyn Isigi, the owner/administrator. Together they toured the external and internal areas of the home. The following was observed at the time of inspection: Physical Plant This facility is a one-story house located in a quiet residential community. The facility consists of five (5) bedrooms, three (3) bathrooms, kitchen, dining area, living room, family room, laundry room and backyard with a pool and basketball hoop. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. Knives and sharps, disinfectants and cleaning solutions will be kept locked and secured in the kitchen. Per administrator there are no firearms on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. The home has one fire extinguisher. The pool has a fence that is at least 5 feet high and has a self-latching device. A fire inspection was conducted by the Kern County Fire Department on 01/23/25 and a fire clearance was granted for three ambulatory clients, 2 non-ambulatory and 1 bedridden client. Fixtures, Furniture, Equipment, and Supplies Bedroom #1 a client with a wheelchair will have one twin bed and a dresser that will be used, Bedroom #2, will have 2 twin beds and 2 dressers, Bedroom #4 will have 1 or 2 twin beds and dresser, & Bedroom#5 will have 1 or 2 twin bed/s with dresser. There are two bathrooms that can be utilized by the clients. The owner/administrator will occupy bedroom # 3 and has its own bathroom. Heath Related Services and Record Keeping Medications, the first aid kit will be centrally stored and locked in a cabinet by the kitchen. The kit contains all required supplies. The client and staff files will be stored in a locked file cabinet in the administrators' bedroom. LPA also conducted Component III - Category Specific Orientation with the applicant. The following items were discussed and provided to the applicant: -Title 22 regulations on Small Family Homes - Continuing Requirements (General Licensing Requirements) - Buildings and Grounds requirements - Personnel Records (forms) - Client Records (forms) -Reporting Requirements - Other administrative forms LPA guided applicant to go to this website for additional information regarding the inspection and its CARE Tools and methods, please visit the CARE Tools web page or the Inspection Process Project web page.(www.cdss.ca.gov) On today's visit, the administrator submitted the following: LIC 200, 308, 402, 215, 420, 500 and a copy of her driver's license. The revisions for the Program Statement were explained to administrator/owner and will be submitted on/or before February 07, 2025. LPA advised licensee that all documents submitted, and revisions of PS will also be reviewed by LPM Yeung. No deficiencies were observed on this date. An exit interview was conducted a signed copy of this report was provided to the applicant.

visit_type: Prelicensing


summary: Facility Evaluation

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Narrative:
On April 11, 2025 at 9: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced inspection at the Small Family Home facility and met with the licensee, Roselyn Isigi. The purpose of the inspection was about post licensing. Currently the facility has two (2) children in care. At 9: AM, LPA and licensee toured the internal and external areas of the home. The following was observed at the time of inspection: This facility is a one-story house located in a quiet residential community. The facility consists of five (5) bedrooms, three (3) bathrooms, kitchen, family room, dining area, laundry room and backyard with pool and basketball hoop. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. Knives and sharps, disinfectants and cleaning solutions are kept locked and secured in the kitchen. Per licensee, there are no firearms/ammunition on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. The home has one fire extinguisher. The pool has a fence that is at least 5 feet high and has a self-latching device. Medications, the first aid kit is centrally stored in a cabinet by the hallway. The first aid kit contains all required supplies. The home has toilets, wash basins, and one shower/bath for clients' use. The water temperature was tested at 105 degrees which is within regulatory guidelines. Licensee got a phone call emergency from the school to pick up one client not feeling well. This inspection will be continued on another day to complete. On today's visit LPA reminded licensee about the current LIC 503, and TB testing and any new hires will go through fingerprints and documents. LPA provided licensee PIN 24-09-CRP for the Video Cameras in Children's Residential Congregate Care Facilities. LPA reminded the licensee to submit the PS addendum by May 13, 2025. There are no deficiencies found at this time. An exit interview was conducted and LPA provided a copy of the following reports: LIC 809, LIC 811 to Ms. Roselyn Isigi, Administrator/Licensee.


summary: Facility Evaluation

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Narrative:
On April 21, 2025 at 10: AM, Licensing Program Analysts (LPAs) Juliet Robles and Joe Martinez conducted an unannounced inspection at the Small Family Home facility and met with the licensee, Roselyn Isigi. The purpose of the inspection was about a continuation of the post licensing conducted last April 11, 2025. Currently the facility has two (2) children in care. At 10: AM, LPAs and licensee toured the internal and external areas of the home. The following was observed at the time of inspection: LPAs did a walk through and observed the following in the facility. Licensee has perishable food in the countertop kitchen like fresh fruits and breads accessible for clients in care. LPAs observed she has a locked filing cabinet that she stores medication, staff and client files in her bedroom that is locked. The following sleeping arrangements were noted: Bedroom #1 sleeps Client 1 with wheelchair access, hospital bed, closet and dresser space and table. Bedroom #2 sleeps Client 2 with a twin bed, closet space and table. Bedroom #3 for potential client with twin bed, closet Bedroom #4 for potential client with full bed, closet Bedroom #5 - Master's Bedroom sleeps Licensee with own bathroom Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good condition. Each bedroom has sufficient drawer and closet space. There are two full bathrooms in the home, all in working order. The licensee is the main caretaker of the home. Client and staff files are stored under lock and key in the file cabinet in the licensee's bedroom. LPA reviewed two (2) client records and one (1) staff record (See LIC Confidential Name List, dated 04/21/25). LPA checked required criminal record and child abuse index check clearance or exemption for all adults in the home. LPA interviewed the licensee and 1 client at the facility. During today's inspection, the facility is issued with one Technical Violation, nine Technical Advisory and one Type B deficiency. See LIC 809D for citation details. An exit interview was conducted and the following reports: LIC 809, LIC 809C, LIC 809D, LIC 811, LIC 9102 and appeals rights were provided and discussed with the Ms. Isigi.


summary: Facility Evaluation

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Narrative:
On August 19, 2025, at 9: AM, an unannounced Case Management inspection was conducted by Licensing Program Analyst (LPA) Juliet Robles to discuss timely submission of incident reports to the Department. LPA Robles met with the Licensee, Roselyn Isigi. On July 07, 2025, LPA Robles received an email report from the Small Family Home (SFH) Administrator about an incident with regards to client's runaway that resulted in an accident (See Reference LIC 811, Confidential Name List dated 08/19/25). The date of the incident was July 4, 2025, the Department was notified late of the incident. On July 17, 2025, LPA Robles contacted SFH Administrator to discuss completing a process on Guardian and the program statement addendum for video camera usage. LPA Robles emailed and left voice mail messages to the administrator but no response. Per administrator, she is out of the country at that moment and will be back at the end of July. LPA had asked the administrator if she had submitted an incident report about her being away from the SFH facility. Per administrator, she stated she did but did not forward any email to LPA. Based on the above information, a technical advisory (TA) was issued to the SFH facility. Exit Interview was conducted and the following reports: LIC 809, LIC 9102, LIC 811 were provided and discussed with the administrator, Roselyn Isigi.


summary: Facility Evaluation

raw_content:
Narrative:
On February 04, 2026, at 10: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced inspection at the Small Family Home facility and met with the licensee, Roselyn Isigi. The purpose of the inspection was about an Annual/Required inspection. LPA and licensee toured the internal and external areas of the home. LPA observed the following at the time of inspection. This facility is a one-story house located in a quiet residential community. The facility consists of five (5) bedrooms, three (3) bathrooms, kitchen, family room, dining area, laundry room and backyard with pool and basketball hoop. Passageways are free from obstruction. Knives and sharps, disinfectants and cleaning solutions are kept locked and secured in the kitchen. There is perishable food on the countertop like fruits. Per licensee, there are no firearms/ammunition on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. The home has two (2) fire extinguishers. The pool has a fence that is at least 5 feet high and has a self-latching device. Medications are stored in the licensee's bedroom in a locked cabinet. The staff and client file are stored in a locked cabinet. The first aid kit is on the table in the entry way and contains all required supplies except for the American Red Cross Manual. The home has toilets, wash basins, and one shower/bath for clients' use. The water temperature was tested at 105 degrees, which is within regulatory guidelines. There are six (6) cameras that are situated away from client's room, bathroom or window. The cameras are located on the garage, foyer, at the front door outside, inside the entryway and in the living room and outside/backyard perimeter. The audios are disabled. The following sleeping arrangements were noted: Bedroom #1 sleeps one (1) client with wheelchair access, hospital bed, closet and dresser space and table. Bedroom #2 is vacant with a twin bed, closet space and table. Bedroom #3 vacant with twin bed, closet Bedroom #4 vacant with full bed, closet Bedroom #5 - Master's Bedroom sleeps Licensee with own bathroom LPA reviewed one (1) client record and one (1) staff record (See LIC Confidential Name List, dated 02/04/26). LPA checked required criminal records and child abuse index check clearance or exemption for all adults in the home. LPA interviewed the licensee at the facility. During today's inspection, the facility issued three (3) Technical Violation, one (1) Technical Advisory and one (1) Type B deficiency. See LIC 809D for citation details. An exit interview was conducted and the following reports: LIC 809, LIC 809C, LIC 809D, LIC 811, LIC 9102 and appeals rights were provided and discussed with Ms. Isigi.

met_with: Roselyn Agiza Isigi


facility_name: ROSEMARY COLE SFH

summary: Facility Evaluation

raw_content:
Narrative:
On May 27, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Rosemary Cole this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant Rosemary Cole.

met_with: Applicant- Rosemary Cole


summary: Facility Evaluation

raw_content:
Narrative:
On June 11, Licensing Program Analyst (LPA) Maryjane Perez arrived at Rosemary Cole Small Family Home for a pre-licensing inspection for an initial license. LPA met with applicant Rosemary Cole who led a tour of the entire home inside and out. Currently there are no children placed in the home. The applicant is applying to serve a capacity of six ambulatory children ages 0 to 17 years old. The home is a one- story building with four bedrooms and three bathrooms. The entry way of the home had a facility sketch posted and a visitation log available. The hallway leading to the garage had fire extinguisher #1, a laundry room that was accessible to clients but had a locked cabinet storing laundry detergents and cleaning supplies. Bathroom #1 was fully functioning with a locked cabinet under the sink storing cleaning supplies/extra hygiene products. The water temperature was measuring 118 degrees Fahrenheit. Bedroom #1 was fully furnished with two size beds, dressers, lamps and closet space and will be utilized for two clients and was currently vacant. Bathroom #2 was fully functioning and had dual sinks and extra hygiene products stored in cabinets.There was Bedroom #2 that was fully furnished with two twin size beds, dresser/ closet space, lamps and toys that will be utilized for two clients and was also currently vacant. There was a hallway closet that stored extra towels, blankets, linens, and mattress protectors for clients use. Bedroom #3 will also be utilized for two clients and is fully furnished with two twin size beds, dresser/closet space, and lamps. The bedroom was currently vacant. There was a formal dining area with adequate seating arrangement, a living room with couches/ television, an office with all required postings such as personal rights, emergency disaster plan, visitation policy, menu, and house rules. The office also stored a first aid kit with all required elements and fire extinguisher #2. The kitchen was clean and sanitary with a locked cabinet for storing client and personnel files, medication, and cash resources. The refrigerator and pantry were fully stocked with three days of perishable and seven days of non- perishable foods. The knives/ sharp objects were locked in a drawer and cleaning supplies were locked under the sink. There was a dining table and counter space with adequate seating. Bedroom #4 was the master bedroom and had bathroom #3 for applicant and will be locked at all times. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room that is commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. There was a land- line telephone service, appliances were in working order, and all trash cans had tight fitting lids. All hazardous items have been properly made inaccessible to areas where children will have access. As stated by applicant, there were no weapons/firearms and there were no pools or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. There are no corrections needed at this time. Based on this inspection, the home is appropriate for a capacity of six ambulatory clients. The request for licensure will be forwarded to Licensing Program Manager for final approval. Component III orientation was also completed this day of June 11, 2025. An exit interview was conducted. A copy of this report was provided to applicant Rosemary Cole.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Rosemary Cole Small Family Home (SFH) for a post licensing inspection and met with licensee Rosemary Cole who led a tour of the entire facility inside and outside. Currently there is one client placed in the home. The home was approved for a capacity of six ambulatory children ages 0 to 17 years old. The home is a one- story building with four bedrooms and three bathrooms. The entry way of the home had a facility sketch posted and a visitation log available. The hallway leading to the garage had fire extinguisher #1, a laundry room that was accessible to clients but had a locked cabinet storing laundry detergents and cleaning supplies. Bathroom #1 was fully functioning with a locked cabinet under the sink storing cleaning supplies/extra hygiene products. The water temperature was measuring 118 degrees Fahrenheit. Bedroom #1 was fully furnished with two size beds, dressers, lamps and closet space and will be utilized for two clients and was currently vacant. Bathroom #2 was fully functioning and had dual sinks and extra hygiene products stored in cabinets. There was Bedroom #2 that was fully furnished with two twin size beds, dresser/ closet space, lamps and toys that will be utilized for two clients and was also currently vacant. There was a hallway closet that stored extra towels, blankets, linens, and mattress protectors for clients use. Bedroom #3 was currently occupied by one client and had a twin size mattress that was missing a bed frame but had clean blankets, sheets, and pillows as well as dresser/ closet and lighting. There was a formal dining area with adequate seating arrangement, a living room with couches/ television, an office with all required postings such as personal rights, emergency disaster plan, visitation policy, menu, and house rules. The office also stored a first aid kit with all required elements and fire extinguisher #2. The kitchen was clean and sanitary with a locked cabinet for storing client and personnel files, medication, and cash resources. The refrigerator and pantry were fully stocked with three days of perishable and seven days of non- perishable foods. The knives/ sharp objects were locked in a drawer and cleaning supplies were locked under the sink. There was a dining table and counter space with adequate seating. Bedroom #4 was the master bedroom and had bathroom #3 and was locked at all times. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room that is commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. There was a land- line telephone service, appliances were in working order, and all trash cans had tight fitting lids. All hazardous items have been properly made inaccessible to areas where children will have access. First Aid kit was accessible with all required items. As stated by licensee, there were no weapons/firearms and there were no pools or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. LPA interviewed licensee, one staff volunteer and attempted to interview one client. LPA reviewed licensees file, 1 staff volunteer file and one client file. Facility cited for violation of California Code of Regulations, Title 22, Division Six, Chapter 4. regulation 83088 (c): Fixtures, Furniture, Equipment, and Supplies. See 809D. An exit interview conducted and a copy of this report, 10 technical violations and 1 deficiency were discussed and provided to licensee Rosemary Cole.

met_with: Licensee- Rosemary Cole


raw_content:
Narrative:
when a client is exhibiting behaviors, and that no bruising had been observed on the client. LPA was unable to obtain additional interviews. Based on confidential interviews and a review of pertinent documents, the allegation that client 1 sustained multiple bruises due to staff neglect may have occurred or may be valid; however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report was reviewed with and provided to with licensee Rosemary Cole.

Investigation Findings:
13On April 3rd, 2026, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Rosemary Cole Small Family Home (SFH) and met with licensee Rosemary Cole to deliver the findings for the above-stated allegation. On December 10, 2025, Community Care Licensing received a complaint alleging that a minor sustained multiple bruises due to staff neglect. On December 19, 2025, LPA M. Perez conducted a health and safety inspection of the facility, during which no hazards were observed. Lpa M. Perez also obtained pertinent documents, interviewed the licensee (LS) and staff 1 (S1), and attempted to interview client 1 (C1). Regarding the allegation that the minor sustained multiple bruises due to staff neglect, confidential interviews revealed that the client engages in self-harming behaviors that occasionally result in bruising and may become aggressive on a daily basis. Interviews further indicated that staff use verbal redirection or allow the client time to calm down before approaching Another confidential interview stated that staff do not physically grab or touch clients UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: 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 Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ROSEMARY COLE SFHFACILITY NUMBER: VISIT DATE: 04/03/2026


facility_name: ROXIE'S WAY SFH

summary: Facility Evaluation

raw_content:
Narrative:
On July 22, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Christopher Daily this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant Christopher Daily.

met_with: Applicant- Christopher Daily


summary: Facility Evaluation

raw_content:
Narrative:
On August 4, 2025, Licensing Program Analyst (LPA) Maryjane Perez arrived at Roxie's Way Small Family Home (SFH) for a pre-licensing inspection for an initial license. LPA met with applicant Christopher Daily who led a tour of the entire home. Currently there are no children placed in the home. The applicant is applying to serve six ambulatory children ages 6 to 17 years old. The home is a two story building with seven bedrooms and four bathrooms. The downstairs consisted of an entry way with all required postings such as emergency disaster plan, facility sketch, personal rights, and visitation policy. Fire extinguisher #1 was operable and also located in the entry way. Bedroom #1 was also downstairs fully furnished with a full size bed, dresser/ closet space, TV, light fixture and a desk that will be utilized for one client -currently vacant. The kitchen was clean and sanitary with a locked cabinet storing knives/sharp objects, a locked sink cabinet storing cleaning supplies, another locked cabinet for storing household tools such as a hammer and screwdrivers, and another locked cabinet for storing clients files, personnel records, medication, and a lock box for cash resources. The first aid kit was also in a kitchen cabinet with all required elements. The refrigerator and pantry were fully stocked with perishable and non-perishable foods. There was a dining table with adequate seating arrangements, a living room with couches, TV, and games/video games. Bedroom #2 will also be utilized for one client and was fully furnished with a full size bed, dresser/closet space, a TV, a desk, and a light fixture- currently vacant. Bathroom #1 was fully functioning with a shower/bathtub and water temperature measuring 114.6 degrees Fahrenheit. There was a storage closet storing household items such as a broom and ladder. The upstairs consisted of bedroom #3 that will be utilized for one client and was fully furnished with a full size bed, closet/dresser space, a desk, and bathroom #2 that was fully functioning. The laundry room was accessible to clients and had detergents and laundry supplies locked away. Fire extinguisher #2 was located in the upstairs hallway leading to the bedrooms and was operable. Bedroom #4 will be utilized for one client and was fully furnished with a full size bed, closet/dresser space, a TV, a desk and a light fixture - currently vacant. Bedroom #5 will be utilized for one client and was fully furnished with a full size bed, closet/dresser space, a TV, a desk and a light fixture- currently vacant. Bedroom #6 will also be utilized for one client and was fully furnished with a full size bed, dresser/closet space, a TV, and a light fixture- currently vacant. Bathroom #3 was fully functioning with dual sinks and a shower/bathtub. In the hallway there was a linen closet storing extra blankets, sheets, and towels. Bedroom #7 was the master bedroom for applicant with a king size bed, bathroom #4, and a walk in closet that will be locked at all times. The backyard was fully fenced, had a gate with a slide latch, and was free of hazards. There was no pool or other bodies of water at this time. The garage stored a parked vehicle and multiple bicycles. As stated by applicant there were no firearms in the home. Bedrooms were arranged so that no more than one child share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closets for children's belongings and all required bedding. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Appliances were in working order. All trash cans for storage of solid waste had tight fitting lids. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Based on this inspection, there are no corrections needed at this time therefore, the home is appropriate for a capacity of six ambulatory clients. The request for licensure will be forwarded to Licensing Program Manager for final approval. Component III orientation was also completed this day of August 4th, 2025. An exit interview was conducted and a copy of this report was provided to applicant Christopher Daily.


facility_name: ROYE SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On 12/07/2021 at 12: PM Licensing Program Analyst (LPA's) Rosslyn Gray returned to make an unannounced to ROYE SMALL FAMILY HOME to conduct Annual Required Inspection. LPA met with the Licensee who granted access to the facility. The entire physical plant was inspected. The Small Family Home is licensed to provide care and supervision to four (4) children, ages 7-17 years Ambulatory Only. Currently there are no children in placement. The Licensee has Legal Guardianship of three (3) minors ages, 12; 13 and 16 years old; (Superior Court of State of California for the County of Los Angeles ) There is a (5) feet gated pool on the premises that meets regulations (self-latching; unlocked eight (8) feet pool and jacuzzi. The pool and jacuzzi where inspected full of water clean with no debris. The Licensee has keys to lock if necessary. The Licensee confirmed that there are no guns or weapons on the premises. SMALL FAMILY HOME Overview: This is 2 story 6 bedrooms and 4 bathrooms; located in a residential neighborhood. One bedroom is utilized as the Family/Television room and one is utilized as a staff office. There is a centralize air conditioning unit; Living room; Dining room, Kitchen, and a four (4) car garage. There is one (1) facility vehicle parked outside inspected to be in good operating condition (The vehicles car was checked for tires, headlights, tail lights, turn signals, horn and windshield wipers). Make and Model ( Highlander) Proof of Insurance (AAA 11-2023); Car Registration (Expiration 08/18/2022) and current Driver's License. There is no smoking allowed in the vehicle. Outdoor Area: The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. LPA observed all windows, screens and blinds and drapes from the inside and outside of the SFH were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu posted on refrigerator). Personal rights are posted on the wall of the entrance of the home and dresser drawer of each bedroom. LIC-809-C Page 1 of Bedroom # 3: Currently occupied by two (2) legal guardian children. It is equipped with two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; dresser drawer, an armoire, night stand and a walk-in closet. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 4: Is currently occupied by the Licensee. It is equipped with one Queen -sized bed, it is equipped with a Queen sized bed; a comfortable mattresses, linen, blankets and pillows; dresser drawer, an armoire, two (2) night stands; a walk-in closet and a walk-in bathroom. There is adequate lighting and the windows, blinds observed to be in good condition. There are four (4) Bathrooms were inspected and found to be clean. LPA observed S1 test the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Bathroom #1 two has a sink, shower only and one (1) toilet Bathroom #2 located in the Hallway has one sink, shower; bathtub; and one (1) toilet; Bathroom #3 located upstairs in the hallway has, on sink, shower and bathtub; Bathroom # 4 is located inside bedroom #4. It is one (1) toilet; two (2) sinks, shower; bathtub; and one (1) toilet. All the prescribed medications; medication logs, files and are locked key entry in a closet in located in the Master Bedroom #4). First Aid kit is in the kitchen area closet. It has the required items inside (age-appropriate, and scissors, tweezers, thermometer, and gauzes, antiseptic and First Aid Manual Guide. In the event of placement's, the will ensure to accompany clients to local recreational facilities; other outside extracurricular activities and social events. Clients will be accorded dignity in personal relationships with all adults authorized to be in contact with clients. LPA observed that Licensee ensures that CDC Guidelines are implemented in effort to prevents other from contracting the COVID-19 virus (i.e wash hands with alcohol based hand sanitizes, backpacks are left outside, and has their individual basket of hygiene supplies. The SMF operates within license conditions and limitations including capacity limitations. LPA observed the written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. Report continued on LIC-809-C Page 3 of LPA observed utility shut-off valves for gas and water located on side of house near the central air conditioning unit. The Hot Water Heater is enclosed in a locked door on the exterior side of the house. The four (4) car garage is utilized to park one (1) vehicle and to store extra furniture. There is gym equipment; stationary bikes and weights. The Licensee will ensure that the children are always monitored by staff when utilizing the equipment. The Washer and Dryer (Black) unit is also located in the garage. The Licensee selected to do the laundry for the children. The Laundry detergent is stored above the laundry unit in a key locked cabinet. The cleaning supplies solutions, disinfectants are stored in a locked in the hallway locked closet; sharp knives are also inaccessible in separate box in the key locked in kitchen accessible. LPA observed combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with one (1) ceiling fan, Black glass Entertainment center; fireplace that is non operable and a music key board. There is a glass double door; covered with drapes, that leads to the outside; but currently locked and not be utilized as an entrance or exit. Dining room/Kitchen: Observed to be clean and organized; The Kitchen stove is gas operated with four (4) burners a double door refrigerator with bottom freezer; dishwasher, build in oven (not been utilize) microwave, toaster and another kitchen appliance. There built-in a garage disposal (not being utilized). There is also an additional freezer locate in the hallway near kitchen exit. The dining table Dining area six (6) chairs, and a glass wet bar (that not operable). There is a glass double door; with blinds, that leads to the backyard view of the pool. LPA observed ample supply of perishable and non-perishable food LPA observed coverage trash cans in the kitchen, and bathrooms. The Linen closet is located upstairs in the hallway in between the bedrooms. LPA observed three (3) Fire Extinguishers; two (2) located in the kitchen area and one (1) upstairs. Bedroom # 1: Is located downstairs right side of the entrance. Is currently unoccupied. It is equipped with one full-sized bed, comfortable mattress, linen, blanket and pillows; adequate drawer, walk in closet. There is also a walk-in bathroom one sink, shower only and one (1) toilet. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 2: Currently occupied is located upstairs to the right. It is currently occupied by one (1) legal guardian child. It is equipped with Full-sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and ample closet space. There is adequate lighting and the windows, blinds observed to be in good condition. Report continued on LIC-809-C Page 2 of Client Records: There are currently no clients in care. All children in the home are under legal guardianship. Staff Records: Currently there are no staff employed. LPA reviewed the Licensee's 40 hours of Training certificates (Certified by the Board of Registered Nurses) LPA obtained the Facility Profile and Personnel Report and confirmed that the Licensee have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Staff Interviews: LPA conducted a confidential interview with the Licensee; no other staff or adult resides in the SFH. Client Interviews: Currently there are no children in placement to conduct confidential interviews. There were no deficiencies cited at this time. LPA's concluded the Annual Required Inspection. An exit interview was conducted, and a copy of this report was left at the Small Family Home with the Licensee on 12/07/ Report LIC-809-C Page 4 of 4


summary: Facility Evaluation

raw_content:
Narrative:
On October 17 9:50AM Licensing Program Analyst LPA's Rosslyn Gray and Deborah Lee returned to make announced visit to ROYE SMALL FAMILY HOME for the purpose to conduct a Annual Random. LPA met with the Licensee who granted access to the facility. The entire physical plant was inspected. The Small Family Home is licensed to provide care and supervision to four (4) children, ages 7-17 years Ambulatory Only. The Licensee has Legal Guardianship of three (3) minors ages, 17;15 and 14 years old. LPA reviewed the Licensee Letters of Legal Guardianship obtained 10/1/ 2019 and 8/23/2019 from the Superior Court of State of California for the County of Los Angeles- EDELMAN CHILDREN'S COURT.There is a (5) feet gated pool on the premises that meets regulations (self-latching; unlocked eight (8) feet pool and jacuzzi. The pool and jacuzzi where inspected full of water clean with no debris. The Licensee has keys to lock if necessary. The Licensee confirmed that there are no guns or weapons on the premises. SMALL FAMILY HOME Overview: This is 2 story 6 bedrooms and 4 bathrooms; located in a residential neighborhood. One bedroom is utilized and as a staff office. There is a centralize air conditioning unit; Living room; Dining room, Kitchen, and a four (4) car garage. There is one (1) facility vehicle parked outside inspected to be in good operating condition (The vehicles car was checked for tires, headlights, tail lights, turn signals, horn and windshield wipers). Make and Model ( Highlander) Proof of Insurance (AAA 11/23); Car Registration (Expiration 08/18/2024) and current Driver's License. There is no smoking allowed in the vehicle. Outdoor Area: The outdoor perimeter front yard, side yard and backyard were inspected and found cleared of debris and hazards materials. LPA observed all windows, screens and blinds and drapes from the inside and outside of the SFH were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu posted on refrigerator). Personal rights are posted on the wall of the entrance of the home and dresser drawer of each bedroom. LIC-809-C Page 1 of LPA observed utility shut-off valves for gas and water located on side of house near the central air conditioning unit. The Hot Water Heater is enclosed in a locked door on the exterior side of the house. The four (4) car garage is utilized to park one (1) vehicle that is park outside of the garage in the drive way. The garage is utilized to store extra furniture. There is gym equipment; stationary bikes and weights. The Licensee will ensure that the children are always monitored by staff when utilizing the equipment. The Washer and Dryer (Black) unit is also located in the garage. The Licensee selected to do the laundry for the children. The Laundry detergent is stored above the laundry unit in a key locked cabinet. The cleaning supplies solutions, disinfectants are stored in a locked in the hallway locked closet; sharp knives are also inaccessible in separate box in the key locked in kitchen accessible. LPA observed combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with one (1) ceiling fan, Black glass Entertainment center; fireplace that is non operable and a music key board. There is a glass double door; covered with drapes, that leads to the outside; but currently locked and not be utilized as an entrance or exit. Dining room/Kitchen: Observed to be clean and organized; The ceiling and the kitchen cabinets is designed with brown wood in good condition. The Kitchen stove is gas operated with four (4) burners a double door refrigerator with bottom freezer; dishwasher, build in oven (not been utilize) microwave, toaster and another kitchen appliance. There built-in a garage disposal (not being utilized). There is also an additional freezer locate in the hallway near kitchen exit. The dining table has six (6) chairs, a ceiling fan a glass wet bar (that not operable). There is also a kitchen counter that seats three (3) chairs and one (1) stool. There is a glass double door; with brown blinds, that leads to the backyard view of the pool. LPA observed ample supply of perishable and non-perishable food items and a variety of snacks. LPA observed coverage trash cans in the kitchen, and bathrooms. The Linen closet is located upstairs in the hallway in between the bedrooms. LPA observed three (3) Fire Extinguishers; two (2) located in the kitchen area and one (1) upstairs. Bedroom # 1: Is located downstairs right side of the entrance. Is currently unoccupied. It is equipped with one Queen sized bed, comfortable mattress, linen, blanket and pillows; adequate drawer, walk in closet. There is also a walk-in bathroom one sink, shower only and one (1) toilet. There is adequate lighting and the windows, blinds observed to be in good condition. LIC-809-C Page 2 of Bedroom # 2: Currently occupied is located upstairs to the right. It is currently occupied by one (1) legal guardian child. It is equipped with Full sized bed and comfortable mattresses, linen, blankets and pillows; adequate drawer and ample closet space. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 3: Currently occupied by two (2) legal guardian children. It is equipped with two (2) twin sized beds and comfortable mattresses, linen, blankets and pillows; dresser drawer, an armoire, night stand and a walk-in closet. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 4: Is currently occupied by the Licensee. It is equipped with one Queen -sized bed, a comfortable mattress, linen, blankets and pillows; dresser drawer, an armoire, two (2) night stands; a walk-in closet and a walk-in bathroom. There is adequate lighting and the windows, blinds observed to be in good condition. There are four (4) Bathrooms were inspected and found to be clean. LPA tested the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. Bathroom #1 two has a sink, shower only and one (1) toilet Bathroom #2 located in the Hallway has one sink, shower; bathtub; and one (1) toilet; Bathroom #3 located upstairs in the hallway has, on sink, shower and bathtub; Bathroom # 4 is located inside bedroom #4. It is one (1) toilet; two (2) sinks, shower; bathtub; and one (1) toilet. All the prescribed medications; medication logs, files and are locked key entry in a closet in located in the Master Bedroom #4 and located in the office. First Aid kit is in the kitchen area closet. It has the required items inside (age-appropriate, and scissors, tweezers, thermometer, and gauzes, antiseptic and First Aid Manual Guide. In the event of placement's, the will ensure to accompany clients to local recreational facilities; other outside extracurricular activities and social events. Clients will be accorded dignity in personal relationships with all adults authorized to be in contact with clients. LPA observed that Licensee continues to implement CDC Guidelines in effort to prevent other from contracting the COVID-19 virus (i.e wash hands with alcohol based hand sanitizes, backpacks are left outside, and has their individual basket of hygiene supplies. LIC-809-C Page 3 of The Small Family Home operates within license conditions and limitations including capacity limitations. LPA observed the written plan of operation. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPA reviewed the Licensee's 40 hours of Training certificates (Certified by the Board of Registered Nurses) LPA obtained the Facility Profile and Personnel Report and confirmed that the Licensee have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Client Records: Staff reviewed three (3) records of the clients in care. All children in the home are under legal guardianship. Staff Records: Currently there are no staff employed. Staff Interviews: LPA conducted a confidential interview with the Licensee; no other staff or adult resides in the SFH. Client Interviews: No interviews were conduct due to the children being at school at the time of the inspections. . There were no deficiencies cited at this time. LPA's concluded the Annual Required Inspection. An exit interview was conducted, and a copy of this report was left at the Small Family Home with the Licensee on 10/17/ Report LIC-809-C Page 4 of 4

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On October 30, 2025, at 10: AM Licensing Program Analyst (LPA) Aimee Moratalla arrived at the home ROYE SMALL FAMILY HOME located at Blythe St., Canoga Park, CA 91304 for the purpose of conducting an unannounced Annual/Random inspection. LPA met with the Licensee, Marjorie A. Roye who granted access to the facility. The entire physical plant was inspected. The Small Family Home is licensed to provide care and supervision to four (4) children, ages 7-17 years Ambulatory Only. The Licensee has Legal Guardianship of two (2) minors, ages 16 and 17 years old. LPA reviewed the Licensee's Letters of Legal Guardianship obtained on 10/1/ 2019 and 8/23/2019 from the Superior Court of State of California for the County of Los Angeles- Edmund Edelman Children's Court. There is a five (5) feet gated pool on the premises that meets regulations (self-latching; uncovered eight (8) feet pool and a covered, non-operable jacuzzi.) The pool and jacuzzi were inspected, the pool water is clean with no debris. The Licensee has keys to lock if necessary. The Licensee confirmed that there are no guns or weapons on the premises. Home Overview: This is a 2-story 6 bedrooms and 4 bathrooms; located in a residential neighborhood. One bedroom is utilized as a staff office. There is a centralized air conditioning unit; Living room; Dining room, Kitchen, and a four (4) car garage. There is one (1) vehicle parked on the driveway used to transport the minor. The vehicle was inspected to be in good operating condition (The vehicle was checked for tires, headlights, taillights, turn signals, horn and windshield wipers). Make and Model ( Highlander) Proof of Insurance (AAA 11/23/26); Car Registration (Expiration 08/18/2026) and current Driver's License. There is no smoking allowed in the vehicle. Page 1 of Outdoor Area: The outdoor perimeter front yard, side yard and backyard were inspected and found clear of debris and hazardous materials. LPA observed all windows, screens and blinds, and drapes from the inside and outside of the SFH were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (food menu posted on refrigerator). Personal rights are posted on the wall of the entrance of the home and dresser drawer of each bedroom. LPA observed utility shut-off valves for gas and water located on side of house near the central air conditioning unit. The Hot Water Heater is enclosed with a locked door on the exterior side of the house. The four (4) car garage is utilized to park one (1) vehicle and as a storage for extra furniture. There is gym equipment, stationary bikes and weights. The Licensee will ensure that the minors are always monitored by staff when utilizing the equipment. The Washer and Dryer (Black) unit is also located in the garage. The Laundry detergent is stored above the laundry unit in a key locked cabinet. The cleaning supplies solutions, disinfectants are stored in a locked closet in the hallway; sharp knives are also inaccessible in a separate box in the key-locked kitchen cabinet. LPA observed combined Smoke detector and Carbon Monoxide; tested to be operable. The Living Room is fully furnished with one (1) ceiling fan, black glass entertainment center; fireplace that is non operable. There is a locked double glass door with drapes that lead to the pool area and is not utilized as an entrance or exit. Dining room/Kitchen: Observed to be clean and organized; The ceiling and the kitchen cabinets are designed with brown wood in good condition. The five (5) burner stove is operable but is not being utilized for safety measures (a minor in the home likes to switch it on at night), a two (2) burner portable electric stove is used for cooking. After use, it is stored in a locked cabinet under the counter.A double door refrigerator with bottom freezer; dishwasher, build in oven (not utilized), microwave, toaster and another kitchen appliance. There is also an additional freezer located in the hallway near kitchen exit. The dining table has six (6) chairs, a ceiling fan, and an empty glass wet bar. There is also a kitchen counter that seats three (3) chairs and one (1) stool. There is a glass double door with brown blinds, that leads to the backyard view of the pool. LPA observed ample supply of perishable and non-perishable food items and a variety of snacks. LPA observed coverage trash cans in the kitchen, and bathrooms. The Linen closet is located upstairs in the hallway in between the bedrooms. LPA observed one (1) fire extinguisher and fire blanket located in the kitchen and one (1) fire extinguisher located upstairs. Page 2 of Bedroom # 1: Is located on the 1st floor and is currently being used by a night staff. It is equipped with one Queen sized bed, mattress, linen, blanket and pillows; adequate drawer, walk in closet. There is also a walk-in bathroom, one sink, shower only and one (1) toilet. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 2: Is located on the 1st floor and is currently occupied by one (1) legal guardian child. It is equipped with Full sized bed, mattress, linen, blankets and pillows, adequate drawer and ample closet space. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 3: Is located on the 2nd floor and is currently occupied by one (1) legal guardian child. It is equipped with two (2) twin sized beds, mattresses, linen, blankets and pillows, dresser, an armoire, nightstand and a walk-in closet. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom # 4: Is located on the 2nd floor and is currently occupied by the Licentiate. It is equipped with one Queen-sized bed, a mattress, linen, blankets and pillows, dresser, an armoire, two (2) nightstands; a walk-in closet and a walk-in bathroom. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom#5: Is located on the 2nd floor and is currently unoccupied. It is equipped with a queen-sized bed, mattress, linen, blankets and pillows, dresser, nightstand, and a walk-in closet. There is adequate lighting and the windows, blinds observed to be in good condition. Bedroom#6: Is located on the 1st floor and is utilized as Licentiate's office and extra storage space. There are four (4) bathrooms that were inspected and found to be clean. LPA tested the water temperature, bathroom sinks and ensured that all toilets flushed. The water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. All the prescribed medications; medication logs, files and are in key-locked storage located in the office (Bedroom#6). First Aid kit is in the kitchen area closet. It has the required items inside (age-appropriate, and scissors, tweezers, thermometer, and gauzes, antiseptic and First Aid Manual Guide. In the event of placement(s), Licentiate will ensure to accompany future clients to local recreational facilities, other outside extracurricular activities and social events. Clients will be accorded dignity in personal relationships with all adults authorized to be in contact with clients. Page 3 of The Small Family Home operates within the license conditions and limitations. LPA observed the written plan of operation. Facility personnel are instructed to report violations of personal rights. Licentiate will report changes in the plan of operations affecting services to future clients. Licentiate will report any special incidents. LPA received a copy of the LIC500. Reviewed Documents: Client's File: Staff File: 1 (Licentiate) Client Records: All minors in the home are under legal guardianship of the Licentiate. Staff Records: There are no staff currently employed. Staff Interviews: LPA conducted a confidential interview with the Licentiate. Client Interviews: There were no deficiencies cited at this time. LPA concluded the Annual Required Inspection. An exit interview was conducted, and a copy of this report will be emailed to the Licentiate. Page 4 of 4

met_with: Licensee, Marjorie Angela Roye


facility_name: RUTH AND JACOB SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On January 21, Licensing Program Analyst (LPA) Maryjane Perez and Licensing Program Manager (LPM) Abdoulaye Traore met with applicants Ruth and Jacob Munzaa this date for a Component II. LPA and LPM went over revisions needed for the application prior to licensure. LPA and LPM gave a copy of the LIC 184, Notice of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant.

met_with: Applicants- Ruth and Jacob Munzaa