raw_content:
Narrative:
In regard to the allegation that licensee forced the minors to sleep, it was specifically reported that LS made FC1 and FC2 go to bed between 5:00PM and 6:00PM. During a confidential interview it was stated that LS would make FC1 and FC2 go to bed at 5:00PM while the sun was still up because LS is tired. Another confidential interview stated that FC1 and FC2 are sent to their room after dinner so that LS can sweep and mop the downstairs area after dinner. Then, FC1 and FC2 turn in their tablets at 8:00PM so they can go to bed at 9:00PM. In regard to the allegation that licensee denied the minors access to food, a confidential interview stated that FC1 and FC2 have freedom to get snacks in between meals and that LS prepares meals daily. Another confidential interview stated that LS provides food, and it is fine. LPA didn't receive any additional information. Regarding the allegation that licensee demonstrated inappropriate form of discipline, it was specifically reported that when FC1 misbehaved, the one-on-one staff would throw FC1 over his shoulder. A confidential interview disclosed that there was a time FC1 went outside without permission, therefore, FC1 was dragged back inside by the wrists by LS. Confidential interview also disclosed that another time when FC1 was in trouble an adult picked FC1 up and threw FC1 into the bedroom. Another confidential interview stated that the LS disciplines FC1 and FC2 by taking away their tablet privileges or time-out in their bedrooms. In regard to the allegation that licensee allowed a minor to provide care and supervision to other minors in care, it was specifically reported that there is a fifteen-year-old foster child in the SFH that at times has supervised FC1 and FC2. During a confidential interview, it was disclosed that when LS went to the store there were no adults in the home and that a fifteen-year-old watched FC1 and FC2 while LS was at the store. Another confidential interview disclosed that LS's daughter who is in college comes home on the weekends and supervises FC1 and FC2 and has fingerprint clearance. Based on interview and record review, the allegations that LS forced the minors to sleep; LS denied the minors access to food; LS demonstrated inappropriate form of discipline; LS allowed a minor to provide care and supervision to other minors in care 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. A copy of this report and appeal rights were explained and given to Licensee.

Investigation Findings:
13On 08/28/2024, at 10: AM, Licensing Program Analyst (LPA) Maya Chavez arrived unannounced to Eden Loving Small Family Home (SFH) and met with licensee Sandra Emele to deliver the investigative findings regarding the allegations involving foster child #1 (FC1), foster child #2 (FC2) and the Small Family Home (SFH) staff as listed on the Confidential Names List, LIC 811, dated 08/28/2024. On January 25, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee forced the minors to sleep; licensee denied the minors access to food; licensee demonstrated inappropriate form of discipline; licensee allowed a minor to provide care and supervision to other minors in care. On January 31, Licensing Program Analyst (LPA) K. Beal conducted an unannounced complaint inspection to the SFH and met with licensee (LS) Sandra Emele to initiate an investigation for the above allegations between LS, FC1, and FC2. Lpa K. Beal conducted health and safety inspection with no immediate concerns and interviewed licensee. In addition, LPA M. Chavez conducted a collateral interview with FC2 and attempted to conduct interviews with FC1 and County Social Worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 08/28/2024

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

met_with: License- Sandra Emele


state: CA

facility_name: EDEN LOVING HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Regarding the allegation that licensee pulled foster child's hair, it was specifically alleged that the licensee snatched FC1's headphones off FC1's head and pulled FC1's hair. During investigation, confidential interview stated that L1 did take FC1's headphones off FC1's head because FC1 had the tendency to throw them at L1. It was added that L1 also took FC1's laptop away so FC1 would not throw it at L1. LPA was unable to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. In regard to the allegation licensee interacted with foster child in an inappropriate manner, it was specifically alleged that L1 and FC1 swung at each other until school staff separated them. Confidential interview denied that L1 tried to hit FC1. It was added that school staff never had to separate them because they never tried to hit each other and FC1 moved away from L1 immediately after FC1 got triggered. LPA was unable to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Based on confidential interviews, the allegations that L1 pulled FC1's hair and L1 interacted with FC1 in an inappropriate 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 rights were reviewed and provided to facility representative.

Investigation Findings:
13On August 28, 2024, Licensing Program Analyst (LPA) Maya Chavez arrived at Eden Loving Home Small Family Home (SFM) and met with Licensee Sandra Emele to deliver the findings for the allegations stated above involving the SFH's staff and foster child (FC1) as listed on the Confidential Names List (LIC 811) dated August 28, 2024. On March 14, 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. LPA was not able to interview FC1 because they refused to be interviewed. On March 05, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee pulled foster child's hair and licensee interacted with foster child in an inappropriate manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 08/28/2024

report_type: Complaint Investigation

met_with: Licensee- Sandra Emele

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On April 15, 2021 at 9: AM, Licensing Program Analyst (LPA) Babatunde Aborchie began a pre-licensing inspection for a Small Family Home license. Eden Loving Small Family Home was previously licensed and has relocated to the above address for a new license. LPA met with applicant Sandra Emele who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there is a child placed in the home. The applicant is applying to serve six developmentally disabled children ages 3 to 18. The home is a three-story building with six bedrooms and five baths home which is set up as follow: First floor: · Bedroom #1 has two twin-sized beds; it was vacant · Two living rooms, a kitchen, dining area, storage, a bathroom, the garage and the patio/backyard. Second floor: · Bedroom #2 had two full-sized beds; it sleeps two of licensee's daughters ages 15 and 17 years old. · Bedroom #3 had two twin-sized beds. It was vacant. It will sleep two foster children. · Bedroom #4 had two twin-sized beds. It sleeps 1 foster child currently in placement. · Bedroom # The master bedroom, it had a king-sized bed and sleeps licensee's/applicant. · A laundry room, A loft, and three bathrooms. Third floor: · Bedroom #6 had one twin-sized bed; it sleeps licensee's 13 years old son. · A bathroom 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 is used as a bedroom, and no bedroom serves 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 they were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a cabinet in the kitchen. Cleansers/chemicals were inaccessible and stored a locked cabinet in the kitchen. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be at 114.5 degrees. First Aid kit were accessible with all required items and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pool or other body of water. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request for the license capacity increase will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to licensee

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On April 13, 2023, at 10: AM, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Eden Loving small family home. LPA met with licensee who granted access to the home. The purpose of this visit is to conduct annual required inspection of the small family home. Presently there are two foster children in placement and one of two was at home during inspection. See (LIC 811). The home is a three-story building with six bedrooms and five baths home which is set up as follow: First floor: · Bedroom #1 has two twin-sized beds; it was vacant · Two living rooms, a kitchen, dining area, storage, a bathroom, the garage, and the patio/backyard. Second floor: · Bedroom #2 had two full-sized beds; it sleeps one of licensee's biological daughter aged 16 years old. · Bedroom #3 had two twin-sized beds. It sleeps one foster child. · Bedroom #4 had two twin-sized beds. It sleeps 1 foster child and 1 biological son aged 14 years. · Bedroom # The master bedroom, it had a king-sized bed and sleeps licensee/applicant. · A laundry room, A loft, and three bathrooms. Third floor: · Bedroom #6 had one queen bed; it is currently vacant. · A bathroom 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 is used as a bedroom, and no bedroom serves 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 they were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a cabinet in the kitchen. Cleansers/chemicals were inaccessible and stored a locked cabinet in the kitchen and laundry room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be at 112.5 degrees. First Aid kit were accessible with all required items, and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pool or other body of water. The backyard where children will have access to play was completely fenced and free of hazards. LPA observed Psychotropic medication for FC2, has current court order and written authorization. LPA interviewed one foster child FC1. LPA was unable to interview FC2 due to FC2 being in school during inspection. There are no deficiencies to be cited at this time. An exit interview was conducted. A copy of this report was provided to licensee.

visit_type: Annual

met_with: Sandra Emele


summary: Facility Evaluation

raw_content:
Narrative:
On June 11th, 2025, at 10: AM Licensing Program Analyst (LPA) Claudia Aguilera arrived at Eden Loving Home Small Family Home (SFH) to conduct an unannounced annual licensing inspection. The Facility was toured both inside and out with Licensee Sandra Emele. The home is a three-story building with six bedrooms and five bathrooms. Upon entry of the home, LPA observed a receiving area with a sectional couch, message chair, and workout equipment. LPA also observed a small office that included a small couch, desk, computers, printer, and filing cabinet. Bedroom #1 is located downstairs, it currently vacant it included two empty twin beds, closet, and storage space readily available for future clients. Bathroom #1 is also located downstairs; the bathroom was fully functioning. A closet was also observed downstairs, and it is utilized for guests' coats. The hallway led to the kitchen that was fully inspected. The knives/sharps are kept locked under the kitchen sink. The medication box was also located in a kitchen cabinet and observed to have a lock. The first aid kit was also observed to be in a kitchen cabinet and easily accessible to clients. The fire extinguisher was observed to be operable and located in the kitchen. The kitchen included a large dining room table with sufficient seating, in addition, three chairs were available in the kitchen island for additional seating. LPA also observed a trashcan in the kitchen that contained a tight-fitting cover. The garage was also inspected and observed to store two refrigerators, a freezer, and it is used for additional storage and one parked vehicle. The family room was also located downstairs and included a large sectional sofa, television, a basket with blankets, and a covered fireplace. The upstairs consisted of Bedroom #2 occupied by licensee's biological daughter which also includes bathroom #2. Bedroom #3 was vacant with two twin beds, a closet and storage space for future clients. Bedroom #4 was also vacant with two twin beds, a closet and storage space for future clients. Bathroom #3 was in the hallway; the bathroom was inspected and fully functioning. Bedroom #5 is occupied by licensee and always remains locked which also includes bathroom #4. All bedrooms were arranged so that no more than two clients share a room and one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. Bedroom #6 is located on the third floor which includes a loft and bathroom #6 which was occupied by licensee's biological son. The water temperature was tested and measured at 118.8 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. One fire extinguisher was observed and operable. All windows and screens were in good repair. The smoke and carbon monoxide detectors were tested and operable. There were no guns or weapons in the home as stated by Licensee. The following required posted items were observed accessible: personal rights, visitation policy, emergency numbers, and license. The backyard was also fully inspected, no hazards or obstructions were observed. There are two cameras, one located at the entry door and one in the backyard which meet the Title 22 camera policy. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, and a copy of this report was provided to Licensee.

met_with: Licensee Sandra Emele


facility_name: EKPEDEME SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2025, at 11:30 am, Licensing Program Analyst (LPA) Charmaine Linley, met with the applicant at the Riverside Children's Residential Program Regional Office for the purpose of conducting a Component II meeting. The applicant was previously emailed the list of revisions, along with LIC 184 and LIC 281 on July 25, 2025. LPA reviewed the regulation 83064(b): Licensee Duties and Responsibilities: The licensee shall be regularly present in the home when children are in the home full time.....(1) If all children are involved in out of home programs, such as school or day care, the licensee shall be permitted to be regularly absent during those hours. Applicant is a Certified Nursing Assistant with Loma Linda Hospital and will work with a LVN to provide the services required before the Pre-Licensing inspection. Applicant will take three training's, and the training certificates will be provided along with the revisions by August 12, 2025. Applicant will add Efeme as the Co-Licensee and will update the LIC 200 and send the LIC 215 and training certificates along with the revisions. LPA discussed corrections and revisions needed for the Small Family Home application and supporting documents. The following is a list of the corrections and revisions discussed and requested. These revisions are due by close of business on August 12, 2025. *** Section A Documents: A1. Application (LIC 200):  #3 mailing address needs to be correctly filled out.  Provide an alternative public phone number.  #15 needs to be filled out. A2. Applicant Information (LIC 215): (a) An applicant for a license shall: (b) The following are examples of course, seminar, conference or training topics which will be accepted by the licensing agency to meet the requirements. Programs which can be shown to be similar will also be accepted. (1) Child development (2) Recognizing and/or dealing with learning disabilities (3) Infant care and stimulation (4) Parenting skills (5) Complexities, demands and special needs of children in placement (6) Building self-esteem, for the licensee or the children (8) Record keeping (9) Bonding and/or safeguarding of children=s property (10) Licensee rights and grievance process (11) Licensing and placement regulations (12) Rights and responsibilities of family home providers A3. Applicant Information (LIC 308):  Individual on the LIC 308 needs to be listed on the LIC 500 and cleared on Guardian. A10. Personnel Report (LIC 500):  Dates employed needs to be filled out.  Per regulations, Licensee needs to be regularly present when the children are home, update the Administrator hours to include the hours. *** A12. Health Screening Report - Facility Personnel (LIC 503):  Age needs to be filled out.  Efeme: Date of health screening is not filled out on the second page. A14. Emergency Disaster Plan (LIC 610C):  The plan must show two relocation sites away from the facility that are able to accommodate the number of clients/children in the facility. Individual residences and other licensed facilities cannot be used.  The use of the relocation sites requires authorization from the agency or person currently in possession. This authorization should be verified in writing with a printed name and signature. A15. Facility Sketch (LIC 999):  Facility sketch must be typed or use blank ink; pencil is not acceptable.  Will the facility use video cameras?  Sketch must designate use of all rooms (personal bedrooms vs. client bedrooms) and circle rooms to be used by staff and clients.  Indicate exit routes by number as shown on the LIC Emergency Disaster Plan.  Identify how many clients in each bedroom. Video Cameras provide the information below: (1) Where video cameras are - or will be - located, include on the Facility Sketch. (2) The purpose of the video cameras. (3) How children and authorized representatives will be informed of the location of video cameras and their purpose. (4) How licensees will work with placing agencies to address situations in which a child objects to video cameras. (5) How video cameras will be used in a trauma-informed manner. (6) Whether video cameras will be livestreamed only or recorded. (7) If recorded, who will have access to the recordings and how will the recordings be stored and safeguarded. *** Section B Documents: B7: Facility Program Description:  LIC 200 indicates the ages of the children will be 0-5, however page 1 states children between 0-7 years of age. The same ages need to be indicated on the LIC 500 and all documents.  As a reminder, Children of different sexes shall not share a bedroom unless: Each child is under five years of age.....  Remove statement of accepting non-ambulatory children.  Since you are stating you will accept children that are medically fragile, there are specific regulations for specialized health care needs that is on the last page of the letter.  Do not just state the regulations or follow the regulations, there needs to be a description and more information. Example, "request information specified in Section 83068.2." This needs to be described.  What is a "bait meeting."  Who is "Ivyna."  Who are the individuals listed on the monthly activity schedule - Fastac, Teresia  As a reminder, clients can refuse to attend Church. What is the plan if the child refuses.  Who is the Home Nurse? They need to be listed on the LIC 500. Medication:  Describe if the facility will use the Centrally Stored Medication Records.  Describe if the facility will use the Medication Administration Records.  Describe specifically where the medication will be stored  Describe how the TB Test will be completed prior to or within 30 days of acceptance in this section.  Describe how psychotropic medication shall only be used in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 83070(b)(11).  Describe how the facility will obtain a copy of the current court order, or written authorization of the child's parent or guardian, for each psychotropic medication, as defined in Section 84001(p)(4).  Describe the use of Psychotropic Medication Administration Records (PMAR LIC 622B). A separate log for each psychotropic medication prescribed to the child documenting all the following in Title 22 83070(12).  Describe or provide the consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care. ***  Provide a statement that medication errors will need to be reported and documented to CCL, according to the timeframes for reporting requirements.  Provide a statement that any medication refusal by a client is considered a "Special Incident" and a report will be sent to Community Care Licensing.  Describe where first aid supplies and a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency will be stored.  Describe how staff that are responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross. Transportation arrangements:  Remove references to non-ambulatory and clients in wheelchairs.  Describe how the motor vehicles used to transport clients shall be maintained in a safe operating condition.  Describe how the licensee and their staff are prohibited from smoking a tobacco product, or permitting any person from smoking a tobacco product in a motor vehicle that is regularly used to transport children, regardless of when the children are present. This prohibition applies when the motor vehicle is moving or at rest.  Describe how the licensee shall provide transportation for a child in a timely manner to and from the following: (1) Health-related services. (2) School. (3) Extracurricular, enrichment, cultural, and social activities, in accordance with the reasonable and prudent parent standard specified in Section 83067.  Describe how the facility shall ensure that the transportation provided safeguards the health and safety of a child and shall not violate the personal rights of a child as required by Section 83072.  Provide a list of the consultants with the names to be used by the facility that is specific to the population.  Describe the grievance/complaint procedure for immediate response to incidents and complaints against the facility/Licensee. Provide the timeframes including how to submit a grievance/complaint, where the forms are located, who responds, the timeframe, how the outcome is documented, where are the procedures documented. *** B8: Rules of Discipline/Personal Rights:  Provide a statement that discipline does not include a violation of personal rights.  Describe the timelines for dismissal/removal from placement, which includes planned discharges and emergency removal.  Provide a clear statement that there will be no corporal or unusual punishment used.  Describe how the child will sign the personal rights form at intake and each time a new right has been added.  Provide a copy of the discipline policy and describe how the child will sign the form. B9: Admission Policies:  Admission Agreement needs to be updated to include the age range indicated on the LIC 200.  Admission Agreement needs to remove accepting non-ambulatory clients.  Remove the LIC 604, as this states it is to be used as a guide and not to be used as an Admission Agreement.  Describe the children accepted for care and compatibility determination process.  Describe the criteria for assessing appropriateness of placement given an individual client's needs (i.e., interviews, procedures for obtaining and developing the necessary paperwork, etc.)  Describe how the client and Authorized Representative will sign off on the Needs and Services Plan and anytime there is an updated/modification to the Needs and Services plan.  Provide a statement that clients/residents will be informed of their rights and that client's/resident's rights will not be violated).  Describe how the facility will obtain emergency information. B10: Sample Menu: The sample menu will include:  Provide the times meals and snacks are served. Children with Specialized Health Care Needs:  The following areas need to be described: *** need to be described: • The skills of qualified technical or professional personnel would be required: enteral feeding tube, total parenteral feeding, a cardiorespiratory monitor, intravenous therapy, a ventilator, oxygen support, urinary catheterization, renal dialysis, ministrations imposed by tracheostomy, colostomy, ileostomy, ileal conduit, or other medical or surgical procedures or special medication regimens, including injection, and intravenous medication • "Individualized Health Care Plan Team" means those individuals who develop an individualized health care plan for a child with special health care needs. This team must include the child's primary care physician or other health care professional designated by the physician, any involved medical team, the county social worker or regional center caseworker, and any health care professional designated to monitor the specialized in-home health care provided to the child as stated in the child's individualized health care plan. The individualized health care plan team may include, but shall not be limited to, a public health nurse, representatives from the California Children's Services Program or the Child Health and Disability Prevention Program, regional centers, the county mental health department and where reunification is the goal, the parent or parents, if available. In addition, the individualized health care plan team may include the prospective specialized licensees who shall not participate in any team determination required by Sections 83010.1(a)(1)(C) and (2)(C), and 83065.1(a)(1)(B). Describe the Individualized Health Care Plans for Specialized Small Family Homes: (a) The licensee shall not accept a child with special health care needs unless the licensee has obtained an individualized health care plan for the child. The plan shall include the following information: (1) The name, address, and phone number of the health care professional responsible for monitoring the child's ongoing health care. (2) The appropriate number of hours of on-site supervision and monitoring, and the appropriate number of hours of off-site supervision and monitoring, needed to be provided by the monitor designated in Section 83069.1(a)(1). (3) Documentation by the child's individualized health care plan team identifying the specialized in-home health care to be administered by a health care professional or responsible adult trained by a health care professional. (4) Arrangements for in-home health support services if required. *** (5) Specific responsibilities of the licensee for the provision of specialized in-home health care, including any required training and/or additional training. (A) If the specialized small family home has, or will have, four or more children in placement, the individualized health care plan shall include the hours, if any, during which the child will not require an in-home health care provider to deliver specialized in-home health care. (6) Identification of any available and funded medical services that are to be provided to the child in the home which may include, but is not limited to, assistance from health care professionals. (7) Identification of any psychological, emotional, behavioral, or medical problems that will be identified in the child's needs and services plan or the medical assessment specified in Section 80069. (b) The individualized health care plan for each child with special health care needs shall be updated at least ever six months or sooner if the needs of the child change. (c) For any child with special health care needs the hospital discharge plan may be adopted by the individualized health care plan team as the child's individualized health care plan. (d) The individualized health care plan may be combined with the child's needs and services plan or regional center individual program plan provided that all the information required by each plan is included. Personnel Records for Specialized Small Family Homes: Describe how the licensee will ensure that the personnel records of all persons subject to the requirements of Section 83065.1(a) contain the following: (1) For any training or additional training from which the licensee or other in-home health care provider is exempt: (A) Documentation that the child's individualized health care plan team has determined that it is not necessary for the licensee or other in-home health care provider to complete the specialized in-home health care training or additional training. 1. Documentation may be provided in different ways, including, but not limited to, a written statement from a member designated by the team that the team has been notified and has determined that *** the training or additional training is unnecessary. (B) A copy of a valid license or certificate indicating that they are a licensed health care professional. (2) For any training or additional training from which the licensee or other in-home health care provider is not exempt: (A) Documentation, by a health care professional providing the training, that the licensee or other in-home health care provider has successfully completed the specialized in-home health care training specified in Section 83065.1(a)(1). Describe the Additional Personnel Requirements for Specialized Small Family Homes: (a) The licensee, assistant caregivers, on-call assistants and any other persons providing specialized in-home health care shall comply with the following requirements: (1) Prior to caring for a child with special health care needs or when the child's needs change, the in-home health care provider shall complete training in specialized in-home health care provided by a health care professional as required by the child's individualized health care plan, except when (A) The in-home health care provider is a licensed health care professional; and (B) The child's individualized health care plan team determines that completion of specialized in-home health care training for the child is unnecessary on the basis of the in-home health care provider's medical qualifications and expertise. A copy of this report was provided to the applicant along with the signed Orientation form indicating Component II has been completed. A copy of this report will be placed in the facility file.

met_with: Ogheneruemu Ekpedem


summary: Facility Evaluation

raw_content:
Narrative:
On 01/30/26, Licensing Program Manager (LPM) Ann Valenzuela and Licensing Program Analyst (LPA) Sarah Lo met with Applicant, Ogheneruemu Ekpedeme, to review the Plan of Operations for Ekpedeme Small Family Home (SFH). Below are the sections reviewed: B7: Facility program description, Reviewed Separate locks for psychotropic medications, and Admission Agreement. B8: Discharge policy to be separate, Update personal rights. B9: Discipline policy to be separate, Update personal rights Through out the plan of operation, licensee is going to clarify that the facility will be accepting either two male or two female children at a time. LPM Valenzeula stated that LPA Gilbert Marquez will be contacting her to schedule a Pre-Licensing of the Small Family Home. Ms. Ekpedeme will provide LPM Valenzuela the updated revisions prior to licensure. LPM Valenzuela asked applicant if there are any other questions, and applicant stated no and thanked LPM for their assistance. A copy of this report was provided to applicant and emailed a copy.

met_with: Applicant, Ogheneruemu Ekpedeme


summary: Facility Evaluation

raw_content:
Narrative:
On February 5, 2026, Licensing Program Analysts (LPAs) Gilbert Marquez and Stefanie Mutialu conducted Component III Small Family Homes via Microsoft TEAMS with Applicant Ogheneruemu A. Ekpedeme. A copy of the handout was emailed prior to Component III and the Applicant was told that the Prelicensing Inspection is being considered. A copy of this report was emailed to Ogheneruemu A. Ekpedeme for a signature and a copy of the signed report will be placed in the facility file.

met_with: Ogheneruemu A. Ekpedeme, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On February 13, 2026 at 10:35 am, Licensing Program Analysts (LPAs) Gilbert Marquez and Sarah Lo arrived at the facility to conduct a pre-licensing inspection of the facility. LPAs met with Applicant Ogheneruemu "Alexis" Ekpedeme. The facility was toured inside and outside. The facility is located in a new residential neighborhood. The facility is a two-story building with six bedrooms and three bathrooms which are set up as follows: Bedroom #1 on the 1st floor: sleeps two clients, there are two twin size beds with all required linens, a closet, and drawer space Bedroom #2 on the 1st floor: is an isolation room for clients, it has one full-size bed, drawers, and a closet Bedroom #3 on the 2nd floor: sleeps two biological children and has a bunk bed and a full size bed Bedroom #4 on the 2nd floor: sleeps two biological children and has two twin beds Bedroom #5 on the 2nd floor: sleeps Applicant's mother when she comes to visit and has a queen size bed Bedroom #6 on the 2nd floor: sleeps Applicant and has a queen bed Bathroom #1 on the 1st floor: has a shower, sink, toilet, and is next to Bedroom #2 and will be available for the clients. There were cleaning items found under the sink without a lock **Continued on LIC809C** **Continued from LIC809** Bathroom #2 on the 2nd floor: will be used only by biological children. The bathroom consists of a shower, sink, toilet, and is next to Bedroom #3. There were cleaning items found under the sink without a lock Bathroom #3 on the 2nd floor: is a "Jack and Jill" bathroom that is next to the Master bedroom of the Applicant, and the bedroom is kept locked. The client's bedrooms were arranged so that no more than two clients will be in a bedroom, and clients will not share a bed. No room is commonly used for other purposes that is also used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. The facility entrance leads to the first floor living room, dining room, and kitchen, and there is a hallway leading to the bedrooms. A laundry room is adjacent from Bathroom #1 and leads to the garage. Some cleaning supplies are kept in a locked cabinet in the laundry room. The dining room table had six chairs, enough for the family and the clients. The living room has two large sofas and a TV, and the second floor living room has two large sofas and a TV. There were games in a cabinet in the first floor living room. There are seven smoke detectors, one in each bedroom and one in the downstairs hallway and one in the second floor living room. There are two carbon monoxide detectors in the downstairs living room and downstairs hallway. The detectors were checked and in properly functioning order. The home's central air conditioning module is located on the outside perimeter of the house in the side yard. The home water heater is located in the garage. The hot water in the kitchen and clients' bathroom were measured and registered at 113 degrees Fahrenheit, which is within the regulatory requirements of 105 degrees to 120 degrees Fahrenheit. The home appliances were in working order at the time of this inspection which included the following: gas stove and oven combo, microwave, refrigerator and freezer combo unit; toaster oven, and air fryer. The knives are in a locked kitchen cabinet. **Continued on LIC809C page 2** **Continued from LIC809C page 1** The First Aid kit had a printed First Aid Manual approved by American Red Cross and all the required items. There are two fire extinguishers present in the home located in the laundry room and kitchen. They were observed to be in the green full indicator range. There was one house phone that was working and available for clients to use. The backyard was cleaned and there were chairs that were stacked neatly. The property has walls around its perimeter with neighborhood homes directly adjacent to the property, and the back of house faces undeveloped desert property. The front of the house is decorated with small rocks and one pine tree. LPAs observed three outdoor cameras, and one indoor camera that is located at the dining room. All four cameras were placed as according to facility sketch. LPAs ensured that Applicant understood no audio was to be activated. LPA observed a supply of perishable food for a minimum of three meals for three days, and a minimum seven-day supply of non-perishable food. A trash can for storage of solid waste had a tight-fitting lid and was present in the kitchen. The medications will be located in the kitchen in a locked cabinet. The following corrections need to be submitted to LPA by next Tuesday 02/17/2026 5:00pm: 1) the Applicant stated they will purchase a small safe that can be locked, which will be placed in the Applicant bedroom to store client and staff files 2) the Applicant will purchase empty binders to hold client files and staff files 3) the Applicant will purchase locks for the bathroom sink cabinets to store cleaning supplies 4) the Applicant will post somewhere in the facility the grievance policy, a sample menu, an activities calendar, and the emergency disaster plan. The Applicant will speak with assigned LPA Charmaine Linley to discuss other documents that are still needed for review or submission in order to obtain a final license approval. An exit interview was conducted, and a copy of the report was provided to Applicant Applicant Ogheneruemu "Alexis" Ekpedeme. A copy of this report will be placed in the facility file.

met_with: Ogheneruemu Alexis Ekpedeme, Applicant


facility_name: EMANI HOUSE

raw_content:
Narrative:
Based on confidential interviews, the care team does not have concerns about the incident and does not feel the youth was abandoned. The youth is doing well and improving in licensee's care. Although the allegation(s) may have happened or is/are valid, based on LPA's observations and interviews with residents and staff, there is not a preponderance of the evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation(s) is/are Unsubstantiated. LPA advises licensee that since the facility is a 24/7 facility, the facility should ensure the ability to respond to notifications pertaining to the youth at all times, especially when the youth has been removed on an emergency basis, in case there is an urgent matter that requires the licensee to take action. See attached LIC 9102. An exit interview was conducted, appeal rights provided, and a copy of this report left with Licensee Ella Bell, whose signature on this form confirms receipt.

Investigation Findings:
13On 7/1/22, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility to deliver findings of an investigation of the above allegation. LPA met with Caretaker Judy Bell and informed of the purpose of the visit. Based on confidential interviews and record review, the licensee had been informed by emergency personnel when the youth was transported by ambulance for a psychiatric hold, which caregivers do not typically join, that youth would be held overnight to be assessed, which is standard procedure for psychiatric holds. Due to this, licensee had not expected to be called in the middle of the night to pick up the youth, and assistant caregivers had been granted time off to rest after the escalated event, which was the first of this level for this youth. Licensee was initially unresponsive due to being asleep and unaware of the situation, and it appeared that the hospital did not conduct a full psychiatric evaluation or provide the youth with their prescribed psychotropic medication, but licensee did pick up the youth in the morning without issue while still ensuring care for the other children in licensee's care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Isabel Mendoza LICENSING EVALUATOR NAME: Mariah Hawkins 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 14-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, TRAEGER AVE., SUITE FACILITY NAME: EMANI HOUSEFACILITY NUMBER: VISIT DATE: 07/01/2022

met_with: Licensee Ella Bell


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on multiple interviews, Licensee and Staff Member did try to stop child from getting injured from another child. In that process, staff member also got injured because she tried to get in between to shield another client from getting injured. Both clients are doing well after the incident. No deficiencies are being cited since staff was present during the incident to de-escalate and separate the children from fighting. No deficiencies are being cited based on LPA's observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted, and a copy of this report was left with the Administrator, Ella Bell.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

visit_type: Complaint Investigation

met_with: Ella Bell, Licensee

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Intellectual and developmental disabilities is a disability characterized by significant limitations both in general intellectual function resulting in, or associated with, deficits or impairments in adaptive behavior. The disability must manifest before age 18. Persons with closely related conditions refers to individuals who have a severe, chronic disability that meets ALL of the following conditions: a. is attributable to cerebral palsy, epilepsy; or any other condition, other than mental illness, found to be closely related to intellectual and developmental disabilities because this condition results in impairment of general intellectual functioning or adaptive behavior similar to that of mentally retarded persons, and requires treatment or services similar to those required for these persons." The facility is accepting clients who do not meet the criteria that is stated in the Plan of Operation. The preponderance of evidence standard has been met, and therefore the above allegation(s) are found to be substantiated. This is a violation of Title The facility is being issued a citation on the attached page LIC 9099-D. An exit interview was conducted, appeal rights discussed, and a copy of this report was left with Licensee whose signature on this form confirms receipt.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


raw_content:
Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


met_with: Marshe Neal, Staff

investigation_findings: UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

allegations: UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:


met_with: Marshe Neal, Direct Care Staff


raw_content:
Narrative:
An exit interview was conducted, appeal rights discussed and a copy of this report was left with Ella Bell, Licensee whose signature on this form confirms receipt.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:


met_with: Toya Geeter, Staff


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 12/10/21 at 11AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for a required annual inspection. LPA met with Licensee Ella Bell and informed of the purpose of the visit. LPA used the CARES Inspection Tool to complete the inspection. The inspection was completed during visit, but a follow-up visit is needed in order to complete the report. The facility was observed to be in safe condition. There is one client in care. Bedrooms have clean linens. Resident in care reported feeling safe and comfortable. LPA observed that staff S1 (See LIC Confidential Names) is not cleared/associated to the facility and has worked in the facility providing care and supervision to client in care. LPA is issuing a citation of California Code of Regulations, Section 80019(e). Per Section 80019(g), LPA is issuing an immediate civil penalty of $100 per violation for a maximum of 5 days, for a total of $500. LPA informed Licensee that S1 cannot work in the facility until the clearance is obtained or transfer of clearance is complete. An exit interview was conducted, appeal rights were provided, and a copy of this report was left with Licensee Ella Bell, whose signature on this form confirms receipt. This report has been amended on 12/13/21 to correct the staff reference "S1" typo in the original report.

Deficiencies:
80019(e): (2) Request a transfer of a criminal record clearance as specified in Section 80019(f)

title: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 12/13/21 at 10:28AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the facility for an annual continuation. LPA met with Licensee Ella Bell and informed of the purpose of the visit. LPA conducted a required annual inspection on Friday 12/10/21. LPA used the CARES Inspection Tool and completed the inspection on Friday. However, a continuation was required to complete the report. LPA observed the facility to be clean and the site to be well-maintained. There are no bodies of water or hazards on the grounds. There are no firearms, per Licensee. Food is of the quality and quantity to meet the needs of all members of the household, including client. The following items were not listed on Friday's report due to lack of time. 1) Personnel records for staff L1, S1, and S2 (See LIC 811) did not contain LIC Personnel Record, LIC Health Screening & TB, or LIC Criminal Record Statement. L1 has these forms from submitting the application, but copies, or current versions, are needed for the personnel files. LPA advised, per California Code of Regulations (CCR) Section 80066(a) that these forms be completed for all caregivers/assistants. LPA observed during today's visit that all forms had been completed. 2) Hot water in the upstairs bathroom measured above permitted range at 131. F. The water heater was turned down, and hot water measured a few degrees above range. During today's continuation visit, hot water measured below permitted range at 87. F. The water heater was turned up, and hot water measured 99. F. Water heater was turned up once again very slightly, and hot water measured above permitted range at 124. F. Hot water was lowered again, measured above range, and lowered again. It measured at 12:20PM within permitted range at 116. F. LPA advised, per CCR Section 80088(e), that Licensee obtain a thermometer and monitor hot water. 3) LPA advised, per CCR Section 80071, that Licensee maintain a current LIC Register of Facility Clients. Licensee completed the form and placed in files at visit. 4) LPA advised, per CCR Section 80023, that Licensee begin completing emergency drills every 6 months and document and maintain that log of drills in the facility files. 5) LPA advised, per CCR Section 80070, that Licensee ensure a LIC Client Personal Property and Valuables and a LIC Record of Client's Safeguarded Cash Resources are maintained for all clients, upon entry and updated as changes occur. Licensee completed forms for current client at visit. 6) LPA advised, per CCR Section 83070, that psychotropic medications should be logged on a separate log, the LIC 622B, which LPA provided at visit on 12/10/21. Licensee filled out medication form to begin using. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Licensee Ella Bell, whose signature on this form confirms receipt.

Deficiencies:
80066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information

visit_type: Case Management


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 12-13-22 10:48AM, Licensing Program Analysts George Karkazis conducted an unannounced Annual/Random inspection at listed facility. LPA's met with Ella Bell, Licensee, and toured the facility inside and out. Safety precautions were taken including screening call and mask wearing. The Group Home is licensed to serve six clients. Present during the inspection were one staff and no clients. At 11:04AM, LPA Karkazis reviewed client and staff files, and were incomplete. Based on record review, the licensee did not comply, S1, S2, and S3 did not have completed health screening forms, a Type A Deficiency cited CCR 80066(a)(10). Based on record review, the licensee did not comply, S1, S2, S3, did not have confirmed Tuberculosis test in file, a Type A Deficiency cited CCR 80066(a)(11). Based on record review, the licensee did not comply, client did not have a tuberculosis test on file, a Type A Deficiency cited CCR 80069(c)(1). Based on record review, the licensee did not comply, forms not in files: S1-CPR training expired, fingerprint clearance, education verification, child abuse index. S2-fingerprint clearance, child abuse index, employee rights, medical training verification. S3-training education verification, child abuse index, employee rights, medical education training, Type B Deficiency CCR 80066(c). At 1:30PM, LPA Karkazis toured the facility. LPA Karkazis observed four bedrooms and three bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 113 degrees which is in range. Continued on LIC 809-C continued from LIC The thermostat read 70 degrees, which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the hallway closet The facility is in good repair and clean. LPA Karkazis interviewed one staff and no clients. At 1: PM, LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Ella Bell, Licensee.

Deficiencies:
80066(c): Personnel Records

(c) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements


summary: Facility Evaluation

raw_content:
Narrative:
Visit was attempted on 12/12/23 at 10: AM. LPA will return at a later date to conduct annual. See LIC 812 pertaining to attempted visit.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/29/23 at 2: PM, Licensing Program Analyst (LPA) Brenda Rodriguez and Licensing Program Manager (LPM) Helga Wong conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required annual inspection. LPA Rodriguez and LPM Wong met with Ella Bell, Administrator (ADM), at the above facility to conduct the required annual inspection. LPA Rodriguez and LPM Wong conducted the physical plant inspection, reviewed plan of operations plan and reviewed the disaster preparedness plan. Personnel Files are maintained on-site in locked cabinets. LPA Rodriguez reviewed one client file and three staff files. LPA Rodriguez discussed the following with the Administrator: client files, staff files, plan of operations plan, and disaster preparedness plan. No client was present to conduct interviews. At this time, the inspection is not complete. LPA Rodriguez will be back at a later day to complete the required annual inspection. LPA Rodriguez conducted an exit interview, and a copy of this document was printed and given to Administrator Ella Bell.

met_with: Administrator: Ella Bell


summary: Facility Evaluation

raw_content:
Narrative:
On 01/02/2024 at 1: PM, Licensing Program Analyst (LPA) Brenda Rodriguez conducted an unannounced visit to the above facility. The purpose of this visit was to complete the required annual inspection. LPA Rodriguez met with Administrator Ella Bell, at the above facility to conduct the required annual inspection. LPA Rodriguez reviewed the facilities operations and disaster preparedness plan. LPA Rodriguez discussed the following with Administrator Bell: staff files, disaster preparedness plan, and operations. All personnel who require caregiver background checks have received criminal record clearances or exemptions. LPA Rodriguez conducted one staff interview, and one client interview. The annual inspection is complete. No citations were cited. Exit interview was conducted and a copy of this report was printed and given to Administrator Ella Bell.


summary: Facility Evaluation

raw_content:
Narrative:
On 12/9/24 at 10:00am, Licensing Program Analyst (LPA) Kristin Pierotti conducted an unannounced Annual Inspection at listed facility. LPA met with the Licensee and toured the facility inside and out. The Small Family Home is licensed to serve 6 clients. Present during the inspection were 2 staff and 0 clients. The CARE Tool was used to complete this inspection. At 10:00am LPA Pierotti reviewed client and staff files. Files were complete and contained all necessary documents. During staff file review at the facility, it was found that S4 (see LIC 811) was working at the facility does not have a background clearance associated to the facility. S4 does have a clearance associated with a different Children's Residential Facility. LPA searched through the background clearance system Guardian and observed that multiple staff listed on the facility's clearance roster are still "in process". LPA is issuing a technical assistance for S4's clearance association. Licensee agrees to fill out and submit the LIC Criminal Background Clearance Transfer Request. Licensee will also contact Guardian to find out what needs to be done for the other employees listed as "in process" in Guardian. At 11:15am, LPA Pierotti toured the facility. LPA Pierotti observed 4 bedrooms and 3 bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Pierotti observed the thermostat read 68 degrees which is within range. Sharps were locked and chemicals were safely stored in the locked garage. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in a closet in the hallway. The facility is in good repair and clean. At 11:35am LPA Pierotti toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. Continue on LIC809C LPA Pierotti interviewed 2 staff and 0 clients. All clients were at school during the time of the inspection. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Licensee whose signature confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/10/25 at 10:45am, Licensing Program Analyst (LPA) Kristin Pierotti conducted a Case Management Inspection at the facility. LPA met with Marshe Neal, staff, and Ella Bell, Licensee joined the inspection via telephone. LPA informed staff and Licensee that they were conducting the inspection in regards to staff being present in a clients bedroom overnight. Upon reviewing documentation and conducting interviews, it was revealed that staff periodically check on the client while they are asleep due to medical needs. Licensee stated that the client has their own private room and does not share with clients or staff. LPA reviewed documentation for the client and found that the client does have a medical condition which requires close monitoring. Licensee stated that they would request an updated copy from the client's physician that pertains to the need for close supervision. There are no deficiencies at this time. LPA conducted an exit interview and a copy of this report was left with Marshe Neal, whose signature confirms receipt.

met_with: Marshe Neal, Staff Ella Bell, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 01/12/2026, Licensing Program Analyst (LPA) Simran Nayyar conducted an unannounced inspection at the facility listed above. Upon arrival, LPA met with Ella Bell, Licensee. The purpose of the visit was to gather information regarding an incident that took place involving the transportation of a client's personal items. During the visit, LPA conducted a walk through of the facility. LPA conducted one (1) confidential interview with the Licensee (refer to LIC812). At this time LPA is giving a technical advisory to the facility and is advising the facility to double check clients personal items before sending them out moving forward. An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Ella Bell, Licensee, whose signature below confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/12/26 at 1:15pm, Licensing Program Analyst (LPA) Simran Nayyar made a visit to the facility regarding the facility closure. LPA met with Ella Bell, Licensee and informed them of the purpose of the visit. LPA conducted a walk through of the facility. The facility is not empty, as it is in the process of converting into a Group Home. Currently the facility has 2 clients who will remain in the facility during its conversion process. Closure letter, closure plan, and forfeited license associated to the Small Family Home have been received by the Department. An exit interview was conducted, and a copy of this report was left with Ella Bell, Licensee whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 09/3/24 at 10:30am, Licensing Program Analyst (LPA) Kristin Pierotti conducted a case management visit in order to discuss an incident report that was received. LPA met with Licensee and informed of the purpose of the visit. Based on record reviews, LPA observed that a manual restraint was used on a client. The facility's Program Statement does not state that manual restraints will be utilized. LPA also observed that staff are not trained in the use of manual restraints. LPA is issuing a citation of Interim Licensing Standards (ILS) Section 87022(f). See attached LIC 809-D. An exit interview was conducted, appeal rights were provided, and a copy of this report was given to Licensee, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 03/18/25 at 10:50am, Licensing Program Analyst (LPA) Kristin Pierotti conducted an unannounced Case Management Inspection. LPA met with Ella Bell, Licensee who assisted with inspection. During the inspection, Licensee informed LPA Pierotti that they are not living in the home. This is a violation of California Code of Regulations, Title 22, Division 6, Chapter 4, Article 6, Section 83064, subsection (b). LPA is issuing a citation. See attached LIC809-D page. A plan of correction was discussed with the Licensee, an exit interview was conducted, appeal rights discussed, and a copy of this report was left with Licensee, whose signature confirms receipt.


facility_name: EMBRACE SAMSHI HOME

summary: Facility Evaluation

raw_content:
Narrative:
On June 24, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Lucy Gitonga 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 Lucy Gitonga.

met_with: Applicant Lucy Gitonga


summary: Facility Evaluation

raw_content:
Narrative:
On September 5, 2025, Licensing Program Analyst (LPA) Maryjane Perez arrived at Embrace Samshi Home Small Family Home (SFH) for a pre-licensing inspection for an initial license. LPA met with applicant Lucy Gitonga 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 four clients (two ambulatory and two non-ambulatory) ages 0-17 years old. The home is a two-story building with five bedrooms and three bathrooms. The downstairs consisted of a entry way with a formal living room, a kitchen with a fully stocked refrigerator and pantry storing perishable and non- perishable foods. There was also fire extinguisher #1 that was operable, a first aid kit with all required elements, a locked cabinet storing knives/sharp objects, a locked cabinet for medications and a locked sink cabinet storing cleaning supplies. There was a dining table with adequate seating and a family room with couches and a TV. Bedroom #1 was also downstairs and was utilized for two non-ambulatory clients that was fully furnished and had two twin size beds, dresser/ closet space, and a sliding door exit way leading to the side yard gate. The trash can in the bedroom needed a tight fitting lid and the bedroom was vacant. Bathroom #1 had a walk in shower, a sink and toilet but was missing a trash can with a tight fitting lid. Hot water temperature was measuring 105.2 degrees Fahrenheit. There was a hallway storage closet storing coats and jackets. The upstairs consisted of a loft with couches, TV, work out station for age appropriate client use, and a desk with locked file cabinets storing client files and staff records. However, there was a missing lock box for clients cash resources. Fire extinguisher #2 was in the hallway and was operable. Bathroom #2 had a walk in shower, a sink, toilet, and a trash can with a lid. There was a storage closet with extra towels and wash clothes. Bedroom #2 was a guest bedroom that had a queen size bed and was fully furnished. Bedroom #3 was for applicants biological son and had a queen size bed and was fully furnished. The laundry room was accessible to clients but had a locked closet storing laundry detergents, laundry essentials and extra linen/ blankets. The trash can in the laundry room was missing a tight fitting lid. Bedroom #4 was utilized for two foster children and was fully furnished with two twin size beds, dresser/ closet space, all required bedding, and lighting. The bedroom was currently vacant and needed a trash can with a tight fitting lid. Bedroom #5 was the master bedroom for applicant that will be locked at all times it was fully furnished and had a crib with all required bedding and bathroom #3 that was fully functioning. Bedrooms were 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. The smoke detectors and carbon monoxide detectors were checked and are working properly. All hazardous items have been properly made inaccessible to areas where children will have access. The backyard where children will have access to play was completely fenced, free of hazards and had two side yard gates, each with a latch. There were no pools or other bodies of water and no weapons/firearms as stated by applicant. There was a land- line telephone service and all appliances were in working order. The garage stored an extra deep freezer with frozen goods and extra house hold items, clients to be supervised when in the garage. Based on this inspection of the home, the facility will need the following corrections: Four trash cans to have tight fitting lids/ covers A lock box for storing clients cash resources After corrections are completed, the applicant will notify LPA so that another inspection can be completed. Component III orientation was also completed this day of September 5th, 2025. An exit interview was conducted and a copy of this report was provided to applicant Lucy Gitonga.

met_with: Applicant- Lucy Gitonga


facility_name: ENGLE SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Robyn Word conducted an unannounced visit at the Engle Small Family Home in response to an age exception request for client FC1 (See LIC 811 for confidential names list). LPA met with Cheryl Engle, the facility owner/administrator, and a health and safety inspection was done of the home. Copies of pertinent documents, such as ISP care plans, and Placement Worker Recommendation were obtained. Further review is warranted to determine if the exception is granted. No citations were made during this visit.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Robyn Word conducted and unannounced annual inspection at the facility on 04/20/23. LPA met with the facility licensee Cheryl Engle. The home is a two story, six bedroom and 4-bathroom home. The home is licensed to provide care for four ambulatory clients ages 7-17 years of age. The home currently serves three total clients, with an age exception for one client. Each client is afforded a comfortable mattress, clean linens, blankets, pillows and clothing. The home was observed to be clean, orderly and in good repair. The outdoor activity space was observed to be free of safety hazards. The facility was well stocked with perishable and non-perishable foods. The facility has a whole house backup generator. The facility also is prepared and well equipped for natural disasters. There are no bodies of water or firearms on the premises. LPA reviewed three staff files and three client files. All staff files were observed to be complete, and staff had the required clearances. one staff member was interviewed during the inspection. All client files were observed to be complete with required documentation. No Title 22 deficiencies were cited on this date. A copy of this report was left at the facility.

met_with: Cheryl Engle- Licensee


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPA) Lyta Vue and Kellie McKinley arrived unannounced to the facility on 04/08/24 at 11: AM and attempted a required annual. LPAs knocked on the door and rang the door bell. There were no respond. LPAs left a business card on the door for the Administrator. LPAs will attempt again at a different day.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Lyta Vue and Kellie McKinley arrived announced at the facility on 04/09/24 and met with Cheryl Engle, Administrator. The purpose of the visit was to complete an Annual Inspection using the CARE tool. The facility is licensed to care for four (4) ambulatory children ages 7-17 years. The facility has five (5) staff. Staff and other adults residing/working in the home have complete Criminal Record Clearances on file. The facility has four (4) of clients in placement, who are Regional Center clients. LPAs completed a Health and Safety Inspection of the facility. The facility is a home-like setting, with four (4) client bedrooms and one (1) master bedroom for the administrator. There are four (4) bathrooms for clients and staffs. All toilets, showers, and sinks were functioning properly. The living area is spacious, with a video game machine, manipulative and fidgeting game table, TV with video game console, and an ottoman storage with board games for clients. The home was clean and organized. The room temperature was comfortable, and no odor was detected. Smoke alarms were in working order, fire extinguishers were current and will expire at the end of 04/2024, and a first aid kit was fully stocked. Disinfectants are locked in a cabinet stored in the locked garage and the medications are locked in a locked box in the administrator office. LPAs observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the laundry room cabinets and where no chemicals and laundry solutions are stored, and two extra freezers stored in the garage. Client's bedrooms had clean bedding, along with a dresser and closet which provided ample storage space for personal belongings. There is no swimming pool or other body of water on the premises. There are no firearms or other weapons in the facility. LPAs observed client and staff files stored in a locked hallway closet. Annual report continued on 809c LPAs reviewed four (4) client files. All clients had a current Individual Program Plan (IPP) on file created by the Regional Center. Clients were current on CHDP medical exams and dental exams. LPAs reviewed 3 staff files. Staff files contained sufficient training hours and CPR and First Aid was current. LPAs interviewed zero (0) clients because two (2) clients were non-verbal, and two (2) clients are not present. LPAs interviewed two (2) staff. No citations were given on this date. A signed copy of this LIC-809 and 809c reports was provided to Cheryl Engle. An exit interview was conducted.

met_with: Cheryl Engle, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Misty Valencia arrived unannounced at the facility on this date and met with Cheryl Engle, Licensee. The purpose of the visit was to complete an Annual Inspection using the CARE tool. The facility is licensed to care for four ambulatory children ages 7-17 years. The facility has 5 staff. Staff and other adults residing/working in the home have complete Criminal Record Clearances on file. The facility has 3 of clients in placement, who are Regional Center clients. LPA completed a Health and Safety Inspection of the facility. The facility is a home-like setting, with four client bedrooms and a Master bedroom for the Licensee. There are three bathrooms for clients and staff. All toilets, showers, and sinks were functioning properly. The living area is spacious, with TV with video game console. The home was clean and organized. The room temperature was comfortable, and no odor was detected. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. Disinfectants and medications are locked in a laundry room, garage cabinet or office. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the garage. Client's bedrooms had clean bedding, along with a dresser and closet which provided ample storage space for personal belongings. There is no swimming pool or other body of water on the premises. There are no firearms or other weapons in the facility. continued on 809-C LPA reviewed 3 client files. All clients had a current Individual Program Plan (IPP) on file created by the Regional Center. Clients were current on CHDP medical exams and dental exams. LPA reviewed 5 staff files. Staff files contained sufficient training hours and CPR and First Aid was current. LPA interviewed zero (0) clients because 2 clients are non-verbal and 1 client are not present. LPA interviewed 2 staff that was on the premises. No citations were given on this date. A signed copy of this LIC-809 and LIC-809C report was provided to Cheryl Engle, Licensee. An exit interview was conducted.

met_with: Cheryl Engle, Licensee


facility_name: ENKAY SFH

summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2025, at 08:30AM, Licensing Program Analysts (LPA) Rachel Vanegas and Carissa Aviles met with Enkay Small Family Home (SFH) Applicant, Nkechi Ogedegbe, at the Riverside Children's Residential Regional Office for the purpose of conducting a Component II meeting. LPAs discussed corrections and revisions needed for the Program Statement and Application. The following is a summary of the corrections and revisions discussed and requested. These revisions are due by close of business on August 15, 2025. Guardian: Prior to licensure as a Small Family Home, Applicant needs to remove current association to a Foster Family Agency as a Resource Family Home. Section A Documents A1. Application (LIC 200) Please provide an updated application to reflect a capacity decrease to ensure compliance in accordance with the number of biological children in the home A3. Designation of Facility Responsibility (LIC 308) "Olufemi Ogedegbe" needs to be cleared and associated in Guardian A10. Personnel Report (LIC 500) The identified staff on this report is not currently cleared or associated to the facility "Olufemi Ogedegbe" A11. Personnel Record (LIC 501) Please review and include dates of employment experience or training completed within the last seven years for the applicant and identified additional staff "Olufemi Ogedegbe" **Continued on the next page** Please provide identification and Guardian clearance for additional identified staff "Olufemi Ogedegbe" A14. Emergency Disaster Plan (LIC 610C) Section IV: Indicate a second relocation site away from the facility that is able to accommodate the number of clients/children in the facility. Please provide signed authorization letters for the use of relocation sites from the agency or business owners, including their name and job title. A15. Facility Sketch (LIC 999) All windows and doors must be identified on the sketch of the facility Indicate exit routes by number as shown on the LIC 610C Emergency Disaster Plan Section B Documents B7. Facility Program Description Please include a Table of Contents Please clarify client population and client sources intended for your program Please review and revise reference to Non-Minor Dependents for accurate information Please review and revise reference to communication and visits with parents and guardians to ensure accordance and compliance with court orders Please review and revise all references to "Administrator" to "Licensee" Health and Safety Protocols Please identify the timeline and the person(s) responsible for health assessments (pg. 4) Meal Plans and Nutrition Please review and identify the frequency and times of meals and snacks (pg. 4) Plan of Activities in the Home Please review and identify the frequency of family outings (Item 7, pg. 5) Please review and revise the attached monthly activity calendar Please review and clarify "visiting with family" as an activity to ensure court order compliance (pg. 7) **Continued on the next page** Key Services for Residents Please review and revise items numbered: 2, 4, 8, 10, 16, 19, and 22 to provide clarity for snacks provided, frequency of linen changes, referrals for mental health services. Health-Related Services Please review and include TB Test as part of medical examination on item 1 (pg. 9) Please include where documentation will be kept/stored for medical examination Please review and revise item 6 to clarify that mental health services are accessible through a referral made by a medical practitioner Medication Assistance Please review and remove "Appendix A for the form" or include this document, it is currently not present (pg. 10) Medical Emergency Please review and revise the location of medication storage as not all medications will not be refrigerated (pg. 11) Please include statement that an incident report is required for medical attention needed due to illness/injury and include reporting requirement timelines Psychotropic Medication Describe how the Licensee will obtain Parental Consent or JV-220 for children with psychotropic medication Provide a statement that any medication refusal by a client is considered a "Special Incident" and a report will be sent to Community Care Licensing Provide a statement that medication errors will need to be reported and documented to CCL, per reporting requirements time frames Please review and revise Record Keeping sections to identify the appropriate use of Medication Administration Record (LIC 622A or LIC 622B) Please review and identify person(s) responsible for documenting medication administration and refill requests Please review and revise statement regarding side effects to outline the procedure for documenting reported side effects and contact to the prescribing doctor as needed, etc. **Continue to next page** Enkay Small Family Home Procedures: Please review and revise item 2 to clarify that medication is locked and securely stored inaccessible to clients in care Complaint Process Please include the complaint hot line number that is available for clients in care to utilize Describe how the facility shall provide a procedure for immediate response to incidents and complaints, including how to submit a grievance/complaint, who responds, the time frame, how the outcome is documented, where is the procedures documented. B8: Rules of Discipline/Personal Rights Describe the grounds for dismissal/eviction/relocation/removal from placement Describe how the child will sign the personal rights form at intake and each time a new right has been added Provide a copy of the discipline policy and describe how the child will sign the form. B9. Admission Policies Provide a copy of the Admission Agreement. The LIC 604 is a Guide and is not to be used as the Admission Agreement. Provide a statement that clients/residents will be informed of their rights and that client's/resident's rights will not be violated. Please review and revise references to Non-Minor Dependents for accuracy to your LIC 200 (pg. 19) Please review and revise Needs and Services Plan and Modification to the Needs and Services Plan section guidelines, you cannot copy and paste the regulations into this section (pg. 20) Please review and remove references for Special Health Care Needs as this does not pertain to the client population that you intend to serve (pg. 26) Please review and provide clarity that counseling services are accessible through a referral made by a medical practitioner (pg. 27) Non-Violent Crisis Response Please review and remove reference to physical interventions/restraints (pg. 30) Please review and revise reporting requirements to Community Care Licensing (CCL) to ensure that an initial notification is submitted within 24hrs and a full written report is submitted within 7 days of the incident **Continue to next page** Please review and identify psychotropic medication policies/JV-220 processes for request/Psychotropic Medication Administration Record (PMAR) keeping, and a statement regarding temporary administration of psychotropic medication authorized on the JV220(A) Physician's Statement while JV223 is pending for emergency status Disaster Response Plan Please review and revise items 6 and 8 to ensure alignment and accuracy with information listed (pg. 37) Camera Devises Please review and revise to ensure compliance with Children's Residential Program Provider Information Notice 24-09 (pg. 43) - Please clarify retention policy - Please review and include documentation for client objection to camera use - Please review and include documentation for client and authorized representative notification to camera uses and locations B10. Sample Menu Please include times that meals are served (pg. 45) Please include snack times LPAs Vanegas and Aviles conducted an exit interview and a copy of this report along with the signed LIC 281C, Care Tools Pre-licensing form, and appeal rights were reviewed and provided to the applicant, Nkechi Ogedegbe.

met_with: Applicant - Nkechi Ogedegbe


summary: Facility Evaluation

raw_content:
Narrative:
On October 8, 2025 at 10: AM, Licensing Program Analyst (LPA) Rachel Vanegas arrived at Enkay Small Family Home (SFH) to conduct a pre-licensing inspection. LPA met with Applicant, Nkechi Ogedegbe who led a tour of the home. The home was toured both inside and out with the applicant. Currently there are no clients in placement. The home is a two story building with four bedrooms and three bathrooms which are set up as follows: Bedroom #1 (Master) has one bed sleeps the Applicant and Spouse. It has one crib and will sleep one infant client. Bedroom #2 (Clients) has two single beds and will sleep two clients Bedroom #3 (Children) has two single beds and sleeps the applicant's biological children Bedroom #4 (Child) has one single bed and sleeps the applicant's biological child The facility is in the process of adjusting their capacity from 4 to 3. This pre-licensing was conducted in accordance with a capacity of 3. The home also consists of a great room/living room, kitchen, dining area, three full bathrooms, a laundry room, a two car garage, and the backyard. The client's bedrooms were arranged so that no more than two client's will be in a room. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There was adequate closet and drawer space for the client's belongings. There were combination smoke and carbon monoxide detectors in every bedroom and hallway. *Continued on the next page* The combination smoke and carbon monoxide detectors were checked and in properly functioning order. The home's central air conditioning module was located in the back yard. The home's tankless water heater was located in the garage and observed to be set at 120 degrees Fahrenheit. The home appliances were in working order at the time of this inspection. There was adequate food storage space. LPA observed a two day supply of perishable and a seven day supply of non-perishable food. The sharp knives are in a locked kitchen cabinet above the stove, inaccessible to clients. The medications, client, and staff files will be located in a locked filing cabinet located in the applicant's bedroom. Cleaning chemicals are located in a locked kitchen cabinet under the kitchen sink. Laundry detergent and additional cleaning chemicals are stored in locked cabinet in the restroom on the second floor outside of the laundry room. The hot water in the kitchen was measured and registered at 116.8 degrees Fahrenheit. The home's First Aid kit was accessible and is located in the kitchen. It did not contain all required supplies. There were two fire extinguishers present in the home one located on the first floor in the kitchen and one located on the second floor in the hallway. Fire extinguishers were observed to be properly charged and inspected by the fire department. There are no firearms or weapons in the home as stated by the applicant. There is no pool at the home at the time of this inspection. The backyard where clients will have access to play is fenced. At the time of this inspection, the backyard has metal poles and wood slates that are inappropriately stored causing a hazard in the outdoor activity space for clients. The home has five security cameras. All five cameras are located on the outside perimeter of the home (Front Door, Driveway, Right Side Gate, Left Side Gate, and Backyard) The following corrections need to be made: Final revisions to program statement including sample admission agreement revisions and table of contents discussed today. Removal or proper storage of hazards identified in the outdoor activity space, backyard. Repair made in the living room wall which currently has one hole. A trash can for storage of solid waste with a tight-fitting lid needs to be present in the kitchen. Provide tweezers and thermometer for the first aid kit. Component III was completed during this visit. An exit interview was conducted a copy of this report and appeal rights were reviewed and provided to the applicant, Nkechi Ogedegbe. Application will be forwarded to the Licensing Program Manager for Licensing upon receipt and confirmation of corrections made.


facility_name: ESTHER SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2021 at approximately 2: PM, a Component II meeting was conducted at the Monterey Park Children's Residential Program office with Esther Small Family Home. Present at the Component II from Esther Small Family Home was Applicant Esther Wanyoike, Licensing Program Analysts (LPA) Raymond Wu and Claudia Portillo, and Licensing Program Manager Yan Yeung. During the meeting the LPA went over the facility application and supporting documents. During the meeting, the Applicant provided the following updated documents: 1. LIC 500 2. LIC LPA reviewed and discussed the following revisions to be made to sections of the facility's Program Statement to be submitted by August 31, 2021: 1. Specifying the type of clients to be served and visitor policies. 2. Planned Activities and Community Resources. 3. Incidental Medical Services and Medication Procedures 4. Procedures for filing a Complaint. 5. Transportation Procedures. 6. Disaster Plan Procedures. *Applicant to provide letters of acknowledgement from planned relocation sites. 7. Personal Rights of Clients and House Rules 8. Preadmission, Admission, and Eviction Procedures 9. Food menus. Applicant was also advised to begin making contact with placement agencies. An exit interview was conducted and a signed copy of this report was provided to the Applicant.

met_with: Applicant Esther Wanyoike


summary: Facility Evaluation

raw_content:
Narrative:
On September 24, 2021 at approximately 9: AM, Licensing Program Analyst (LPA) Raymond Wu conducted an announced pre-licensing inspection at the above address. Upon arrival, LPA met with Esther Wanyoike, Applicant. Together they toured both the external and internal areas of the home. The following was observed at the time of inspection: Physical Plant This facility is a two-story townhouse located in a quiet residential community. The facility consists of 2 bedrooms, 1.5 bathrooms, living room, kitchen, dining room, 2-car garage, and patio. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. The residential community has a swimming pool that is for communal use that is approximately 500 feet away from the home and is gated/secured. Knives and sharps are kept locked and secured in the kitchen drawer while disinfectants and cleaning solutions are kept locked and secured in cabinets inside the garage. Drawers and cabinets have child locks throughout the home. Per applicant, there are no firearms on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection was comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. Per local fire department instructions, the home has one fire extinguisher upstairs and one downstairs. The home has a working telephone that is available for client use. A fire inspection was conducted by the Ontario Fire Department on 07/01/21 and a fire clearance was granted for ambulatory clients. Fixtures, Furniture, Equipment, and Supplies The home has two toilets, two wash basins, and one shower/bath for clients' use. LPA observed adequate hygiene supplies including but not limited to shampoo, soap, toothbrush, toothpaste, and toilet paper. Client bedroom was observed to be clean, orderly, and contained one full-size bed and one crib. LPA observed clean pillows, pillow cases, bed sheets and blankets. LPA advised that as future clients outgrow cribs, they will need to have their own bed and cannot share with other clients. Client bedroom has adequate closet and drawer space to accommodate client's clothing and personal belongings. Heath Related Services and Record Keeping Medications, client and staff records will be centrally stored and locked in a cabinet by the kitchen. The first aid kit is readily available in a central location. The kit contains all required supplies. LPA also conducted Component III - Category Specific Orientation with the applicant. The following items were discussed: - Continuing Requirements (General Licensing Requirements & Small Family Home regulations) - Buildings and Grounds requirements - Personnel Records (forms) - Client Records (forms) - Other administrative forms No deficiencies were observed no this date. An exit interview was conducted and a copy of this form was emailed to the Applicant.


summary: Facility Evaluation

raw_content:
Narrative:
On November 15, 2022, Licensing Program Analyst (LPA), Claudia Portillo, conducted an unannounced inspection at the small family home (SFH) above for the purpose of conducting an annual inspection. LPA met with the licensee of the home, Ms. Esther Wanyoike. There are currently no foster children placed in the home. The licensee does not have any other staff employed. A physical plant inspection was completed and included the following checks: small family home grounds are free of observable hazards. There is adequate indoor and outdoor activity space, including an outdoor yard. The smoke and carbon monoxide detectors are in working order. Knives and sharps are locked in a kitchen drawer. LPA observed the Children's Personal Rights, license, foster youth bill of rights and complaint hotline poster posted on the wall in the facility. Staff Records: There is no staff other than the licensee. LPA reviewed licensee's file and it contained the following documentation: Child Abuse Index Checks/Department of Justice (DOJ)/Federal Bureau of Investigation (FBI) criminal record clearances, criminal record statement. LPA Chavez observed a health screening and tuberculosis. The Licensee's First Aid Certificate and Cardiopulmonary Resuscitation is valid until November 2024. LPA interviewed Administrator. One Technical Advisory was issued. An exit interview was conducted and a copy of this report, along with appeal rights, was provided to the representative above.

met_with: Esther Wanyoike


facility_name: ESTHER WAMBUI SMALL FAMILY HOME

raw_content:
Narrative:
On 12/24/2024 at 9:55 a.m. Licensing Program Analyst (LPA) Elena Gonzalez-Soto arrived unannounced at the above facility to conduct a confidential interview related to a complaint investigation. During the investigation, the following documents were gathered and reviewed: Needs and Services Plans, Admission Agreements, and photos Confidential interviews were conducted with three individuals, and attempted with one individual, during the period of 09/05/2024 to 12/24/2024. LPA's interviews conducted with Staff 1, Staff 2, and Reporting Party and records reviewed were inconsistent that the Small Family Home provides lack of care or supervision that resulted in injuries to child in care. Based on LPA interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with and a copy of this report was provided to Esther Wambui, Licensee.

Investigation Findings:
13Licensing Program Analysts (LPA) Elena Gonzalez-Soto conducted an unannounced complaint inspection with the above facility on 01/10/2025 at 10:27 a.m. LPA knocked on the door twice and there was no answer. LPA called Esther Wambui, Licensee. LPA asked Esther if anyone was at the facility. Esther said no, but was 10 minutes away. LPA waited for Esther. Esther arrived at the facility at 10:40 a.m. and greeted LPA. The purpose of the inspection was to deliver complaint findings for the above allegations. On 09/09/ Licensing Program Analysts (LPAs) Elena Gonzalez-Soto and Jean Stidman arrived at 9:30 a.m. unannounced at the facility to open a complaint related to the above allegation. LPAs met with Licensee, Esther Wambui. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Dara Campos LICENSING EVALUATOR NAME: Elena Gonzalez-Soto 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: ESTHER WAMBUI SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/10/2025

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

met_with: Esther Wambui, Licensee