summary: Facility Evaluation

raw_content:
Narrative:
On November 7, 2024 at 9: AM Licensing Program Analyst (LPA) Maryjane Perez arrived at Joyce Small Family Home to conduct pre-licensing inspection for an initial license. LPA met with applicant Joyce Muthondu who led a tour of the entire home. The applicant is applying for a capacity of two children ages 0-17. The home is a two story building with four bedrooms and three bathrooms. The downstairs consists of one bedroom and it will sleep two ambulatory children and has two twin size beds- currently vacant, a bathroom, two furnished living rooms, a dining room with a table, kitchen with a table, garage and laundry room.The second floor consists of a master bedroom for the applicant fully furnished with a bathroom, one bedroom fully furnished with one twin size bed and one full size bed for applicants biological children, another bedroom furnished with a full size bed for applicants biological children and a shared bathroom (Jack and Jill style), an office/ family loft area with a desk, couch and TV. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. There were adequate drawers and closets for children's belongings. No room commonly used for other purposes is used as a bedroom. The smoke detectors and carbon monoxide detectors were checked and are working properly. The fire extinguisher is up to date. Inside the facility the fireplace is properly screened. There was no land-line telephone service. Sharp knives were locked in a kitchen drawer. Other sharp objects were observed to be unlocked in kitchen drawers. Cleaners/ chemicals were locked in a cabinet in laundry room. Garage will stay locked at all times as it stores tools. There was adequate food storage space and a supply of three days of perishable foods and a week of non-perishable food. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be 120 degrees. First aid kit was missing tweezers, anti-septic solution, and red cross manual. LPA observed applicant order a new first aid kit with all required elements. The Facility Sketch, Emergency Disaster Plan were posted at this time. The backyard was observed to be clean and free of hazards. There is no pool or other body of water. Based on this inspection of the home, the facility will need the following corrections Telephone services to be installed. Sharp objects to be inaccessible/ locked Window screen needs to be placed on windows Menu needs to be posted Lock box for foster children's cash resources After corrections are completed, the applicant will notify LPA so that another inspection can be completed. Exit interview conducted and a copy of this report was discussed and provided to applicant

met_with: Applicant- JOYCE MUTHONDU


state: CA

facility_name: JOYCE SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On December 6, 2024 at 9: AM Licensing Program Analyst (LPA) Maryjane Perez arrived at Joyce Small Family Home (SFH) and met with applicant Joyce Muthondu who gave a tour of the home. The purpose of this visit was to ensure corrections were made from the pre-licensing inspection on November 7, 2024. The applicant is applying for a capacity of two children ages 0-17. The home is a two story building with four bedrooms and three bathrooms. The downstairs consists of one bedroom and it will sleep two ambulatory children and has two twin size beds and newly placed window screens, the bedroom is currently vacant, a bathroom, two furnished living rooms, a dining room with a table, kitchen with posted menu, locked drawers storing sharp objects/ knives as well as a stationed land line home phone, a laundry room storing cleaners/ chemicals that were locked in a cabinet, a garage that will stay locked at all times as it stores tools. The second floor consists of a master bedroom for the applicant fully furnished and will store foster children's cash resources in a locked box, there is one bedroom fully furnished with one twin size bed and one full size bed for applicants biological children, another bedroom furnished with a full size bed for applicants biological children and a shared bathroom (Jack and Jill style), an office/ family loft area with a desk, couch and TV. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. There were adequate drawers and closets for children's belongings. No room commonly used for other purposes is used as a bedroom. The smoke detectors and carbon monoxide detectors were checked and are working properly. The fire extinguisher is up to date. Inside the facility the fireplace is properly screened. There was adequate food storage space and a supply of three days of perishable foods and a week of non-perishable food. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be 120 degrees. First aid kit had all required elements and will be stored in the pantry. The Facility Sketch and Emergency Disaster Plan were posted at this time. The backyard was observed to be clean and free of hazards. There is no pool or other body of water. The following corrections were made: Applicant obtained a telephone service land line Applicant locked away sharp objects/ knives Applicant obtained window screens on windows Applicant posted food menu in kitchen Applicant obtained lock boxes for clients cash resources Based on this inspection, all corrections were made and the home is appropriate for a capacity of 2 ambulatory clients. Applicant completed component III orientation on November 14, 2024. The request of license will be forwarded to Licensing Program Manager for final review and approval. Applicant was advised to contact the department within 30 days of their first placement An exit interview was conducted and a copy of this report was discussed and provided to applicant Joyce Muthondu.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Applicant- Joyce Muthondu


summary: Facility Evaluation

raw_content:
Narrative:
On March 7, 2022 at 9:23am, Licensing Program Analyst (LPA) Daphne Edison made an unannounced visit to Joyce Small Family Home for the purpose of conducting an Annual Required Inspection. LPA met with Licensee, Lorraine Joyce, who granted access into the home. The facility is licensed to provide care and supervision for non-ambulatory developmentally disabled children ages 2 -9 years old. The census on the date of this visit is zero (0). There is no swimming pool or bodies of water on the premises. The home is set-up as follows: This is a one story, three bedroom home with 2 bathrooms, living room, dining area, and kitchen. Living Room: Equipped with a couch, two (2) chairs, coffee table, fireplace, and a television (TV). The furniture is adequate and in good repair. The fireplace is screened as required. Dining Area: Equipped with a dining table and four (4) chairs. Dining furniture is adequate and in good repair. Kitchen: Equipped with a stove/oven that has four (4) working burners. Kitchen is clean and sanitary. Bedroom # 1: Occupied by Licensee. Equipped with a king-sized bed, dresser, and closet space. Bedroom # 2: Vacant. Equipped with two twin sized beds, dresser, and closet space. Bedroom # 3: Vacant. Used as a guest bedroom. Equipped with a queen sized bed, dresser, and closet space (attached bathroom) Bathroom #1: Clean and operable at the time of the visit. Bathroom #2: Attached to Bedroom #3. Clean and operable at the time of the visit. Continued on LIC 809-C During this visit, there are currently no children in placement or staff. Children in care will be supervised and protected at all times. Children will be accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported by Licensee that children will attend school, extracurricular, cultural, and personal enrichment activities. The home was inspected, and the following was observed: The home is clean, safe, and sanitary. The home will operate within the capacity and limitations of the license. Hot water kept at a safe temperature. The beds have comfortable mattresses, clean linens, blankets, and pillows, all in good repair. Caregiver maintains a safe and comfortable temperature in the home. First aid kit was checked and found to have appropriate supplies. All fire extinguishers are fully charged. All smoke detectors and carbon monoxide detectors tested audible and were working properly. Facility license was posted. No guns or weapons are in the home. There is a working telephone accessible for use at all times. Outdoor activity space is free of obstruction and debris. LPA informed Licensee of licensing fees of $454.00 due by 03/10/2022. Licensee stated will mail licensing fees to be received by the due date. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit Interview was conducted, and a copy of this report will be mailed to the Licensee.

visit_type: Annual

met_with: Lorraine Joyce-Licensee


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Connie Jones-Steward met with licensee Lorraine Joyce to conduct the annual random inspection. The following was observed. This is a 3 bedroom, 1 3/4 bathroom home located in a residential area of the City of Gardena, CA. There are currently no children in placement. There are no bodies of water and no firearms on the premises. There are no security bars on the bedroom windows. There is a screened fireplace in the living room. There is a working smoke detector in the home. The carbon monoxide detector does not have a working battery. There is a fully charged fire extinguisher. The kitchen stove and refrigerator are in good condition. There is locked storage space for knives, household cleaners and medications. There is a complete first aid kit. Bedrooms are allocated as follows: Bedroom #1 is used by the licensee. It has one king-sized bed, drawer and closet space. Bedroom #2 is reserved for clients. There are two twin beds and adequate storage space for two occupants. Bedroom #3 is the guest room. It has one queen sized bed, drawer and closet space. Windows in all bedrooms are operational. Licensee was cited under Title 22 83087(a) for not having a working carbon monoxide detector and 83075(f)(2) for not having current first aid and CPR training.

met_with: Lorraine Joyce, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
LPA Connie Jones-Steward conducted a plan of correction inspection to verify that a fresh battery was placed in the carbon monoxide detector. LPA observed that the deficiency was corrected..

met_with: Lorraine Joyce, licensee


summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2025 at 8:20am, Licensing Program Analyst (LPA) Emelyn Sanchez P. made an unannounced visit to the Joyce Small Family Home for the purpose of conducting an Annual/Required Inspection. LPA Sanchez P. met with Licensee, Lorraine Joyce, who granted access into the home. The facility is licensed to provide care and supervision to non-ambulatory developmentally disabled children ages 2 -9 years old. The census on the date of this visit is zero (0). There is no swimming pool or bodies of water on the premises. The home is set-up as follows: This is a one story, three bedroom home with 2 bathrooms, living room, dining area, kitchen and laundry space. Living Room: Equipped with a couch, two (2) chairs, coffee table, fireplace, and a television (TV). The furniture is adequate and in good repair. The fireplace has a screen cover as required. Dining Area: Equipped with a dining table and four (4) chairs. Dining furniture is adequate and in good repair. Kitchen: Equipped with a stove/oven that has four (4) working burners as well as a table and two (2) chairs. Kitchen is clean and sanitary. Laundry Space: Equipped with a washer and dryer that are operable. Bedroom #1: Occupied by Licensee. Equipped with a king-sized bed, dresser, and closet space. Bedroom #2: Vacant. Equipped with two twin sized beds, dresser, and closet space. Report Cont. on LIC 809-C. Bedroom # 3: Vacant. Used as a guest bedroom. Equipped with a full sized bed, dresser, and closet space (attached bathroom). Bathroom #1: Clean and operable at the time of the visit. Bathroom #2: Attached to Bedroom #3. Clean and operable at the time of the visit. The home was inspected, and the following was observed: The home is clean, safe, sanitary, and in good repair. The home will operate within the capacity and limitations of the license. Hot water kept at a safe temperature. The beds have comfortable mattresses, clean linens, blankets, and pillows, all in good repair. Caregiver maintains a safe and comfortable temperature in the home. First aid kit was checked and found to have appropriate supplies. All fire extinguishers are fully charged. All smoke detectors and carbon monoxide detectors tested audible and were working properly. Facility license was posted. No guns or weapons are in the home. There is a working telephone accessible for use at all times. Outdoor activity space is free of obstruction and debris. There are currently no children in placement or staff. Children in care will be supervised and protected at all times. Children will be accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported by Licensee that children will attend school, extracurricular, cultural, and personal enrichment activities. LPA Sanchez P. also reminded the Licensee to conduct disaster drills every six months when having children in care. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit Interview was conducted, and a copy of this report will be left with the Licensee.

met_with: Lorraine Joyce


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2026 at 1:35pm, Licensing Program Analyst (LPA) Emelyn Sanchez P. made an unannounced visit to the Joyce Small Family Home for the purpose of conducting an Annual/Required Inspection. LPA Sanchez P. met with Licensee, Lorraine Joyce, who granted access into the home. The facility is licensed to provide care and supervision to non-ambulatory developmentally disabled children ages 2 -9 years old. The census on the date of this visit is zero (0). There is no swimming pool or bodies of water on the premises. The home is set-up as follows: This is a one story, three bedroom home with 2 bathrooms, living room, dining area, kitchen, laundry space and detached garage. Living Room: Equipped with a couch, two (2) chairs, coffee table, fireplace, and a mounted television. The furniture is adequate and in good repair. The fireplace has a screen cover as required. Dining Area: Equipped with a dining table and four (4) chairs. Dining furniture is adequate and in good repair. Kitchen: Equipped with a stove/oven that has four (4) working burners as well as a table and two (2) chairs. Kitchen is clean and sanitary. Laundry Space: Equipped with a washer and dryer that are operable. Bedroom #1: Occupied by Licensee. Equipped with a king-sized bed, dresser, and closet space. Report Cont. on LIC 809-C. Bedroom #2: Vacant. Equipped with two twin sized beds, dresser, and closet space. Bedroom # 3: Vacant. Used as a guest bedroom. Equipped with a full sized bed, dresser, and closet space (attached bathroom). Bathroom #1: Clean and operable at the time of the visit. Bathroom #2: Attached to Bedroom #3. Clean and operable at the time of the visit. The home was inspected, and the following was observed: The home is clean, safe, sanitary, and in good repair. The home will operate within the capacity and limitations of the license. Hot water is kept at a safe temperature. The beds have comfortable mattresses, clean linens, blankets, and pillows, all in good repair. Caregiver maintains a safe and comfortable temperature in the home. First aid kit was checked and found to have appropriate supplies. All fire extinguishers are fully charged. All smoke detectors and carbon monoxide detectors tested audible and were working properly. Facility license was posted. No guns or weapons are in the home. There is a working telephone accessible for use at all times. Outdoor activity space is free of obstruction and debris. There are currently no children in placement. Children in care will be supervised and protected at all times. Children will be accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. It was reported by Licensee that children will attend school, extracurricular, cultural, and personal enrichment activities. LPA Sanchez P. also reminded the Licensee to conduct disaster drills every six months when having children in care. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit Interview was conducted, and a copy of this report will be left with the Licensee.


facility_name: JOYFUL CARE PLACE

summary: Facility Evaluation

raw_content:
Narrative:
On June 18, Licensing Program Analyst (LPA) Maryjane Perez arrived at Joyful Care Place Small Family Home (SFH) for a pre-licensing inspection visit for a change of location. LPA met with licensees Judah and Isabella Mwaura who led a tour of the entire home inside and out. Currently there are no children placed in the home. The licensees are applying to serve four children which would be three ambulatory and one non ambulatory, ages 0-17 years old. The home is a two-story building with six bedrooms and five bathrooms. The entry way consisted of fire extinguisher #1 that was operable, an office that will store client and personnel files in a locked cabinet, a living room with couches, and a formal dining area with adequate seating. The kitchen had locked cabinets storing medications and knives/ sharp objects, there was fire extinguisher #2 that was operable, refrigerators/ pantry were fully stocked and there was a dining table with six person seating. The kitchen also had a first aid kit with all required elements there was a telephone land line service and all appliances were in working order. There was another living room with couches, TV, and a screened fire place. Bedroom #1 was downstairs and will be utilized for one non ambulatory client (currently vacant) with one standard twin size bed, closet/ dresser space as well as bathroom #1 with water temperature reaching 119.4 degrees Fahrenheit. Licensee's understand that the water temperature should not exceed 120 degrees Fahrenheit. There was bathroom #2 that was fully functioning and a laundry room that will be open to clients. The upstairs had a loft area with couches, TV, and a closet storing extra blankets/ towels. Bedroom #2 was for licensee's adopted daughter and had one twin size hospital bed with bathroom #3. Bedroom #3 was for licensee's biological son and adopted son and was fully furnished. Bedroom #4 was the master bedroom for licensees and had a Cal-king size bed and bathroom #4 that will be locked at all times. There was a hallway with fire extinguisher #3, a work space desk and a balcony that will be locked at all times. Bedroom #5 will be utilized for a client and had a king size bed, dresser/ closet space and bathroom #5 that was clear of cleaning supplies and currently vacant. Upstairs also had bedroom #6 that will be utilized for two foster children and had two twin size beds, dresser/ closet space, and currently vacant. The garage had locked cabinets storing cleaning supplies, laundry detergents, extra diapers/ gloves and household items. The backyard was free of hazards and had a side gate with a latch. All trash cans in the home had tight fitting lids. 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. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. All hazardous items have been properly made inaccessible to areas where clients/children will have access. There were no weapons/firearms as well as no pools or other bodies of water. There are no corrections needed at this time. Based on this inspection, the home is appropriate for a capacity of 4 clients being 1 non- ambulatory and 3 ambulatory. The request for licensure will be forwarded to Licensing Program Manager for final review and approval. An exit interview was conducted. A copy of this report was provided to licensees Judah and Isabella Mwaura.

visit_type: Prelicensing

met_with: Licensees- Judah and Isabella Mwaura


facility_name: JUDITH SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Judith Small Family Home (SFH) pre-licensing inspection for a relocation. Currently, there are three clients in placement. The home was licensed for a capacity of four clients (all ambulatory). The licensee is relocating and applying for one non-ambulatory and one bedridden clients. The Facility was toured both inside and out with the licensee. The home is a two-story building with seven bedrooms and five bathrooms. During the inspection, LPA observed that downstairs consisted of the kitchen, a living room, a lounge, a dining area and two bedrooms. Bedroom #1, was vacant, and it consisted of one queen size bed, it would sleep one bedridden client, it has an exit door to the outside. Bedroom #2 was vacant; it consisted of one twin bed. It will sleep one non-ambulatory clients. Medications will be stored in a kitchen cabinet on the left side of the stove. Sharp knives were inaccessible and stored in a locked cabinet below the stove. The First Aid Kit was in the kitchen cabinet and contained all required items. The garage was inspected and used for cars. The water temperature was tested and measured at 115 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. There was a variety of snacks available for clients. In addition to the downstairs space, there were also two full bathrooms fully functioning and large space under the stairs to be used as a second laundry room. A trash can was observed to have tight fitting cover. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. The clients' medication log records were kept updated with no discrepancy. Two fire extinguishers were observed and operable. Upstairs was bedroom #3, it was fully furnished with one queen size bed, a full bath; it would sleep biological son, age 11. Bedroom #4, it was fully furnished with two twin beds; it sleeps one client. Bedroom #5 was fully furnished with a twin-sized bed, a closet and plenty of storage space. It will sleep one client. Bedroom #6 sleeps a biological daughter seven-year-old and was fully furnished, a closet, storage space. Bedroom #7, a master bedroom for licensee and spouse and it consisted of a king size bed and a bathroom. The licensee's bedroom is not accessible for the clients. All bedrooms were arranged for 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. There was adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes an additional storage, a loft, and an additional bathroom used by the clients. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. Licensee states that there was a gun/weapon in the home and that the gun is locked and stored separately in a coded safe, and the ammunition is locked and stored separately in a box. The licensee was reminded that the gun was locked and stored separately in a coded safe, and the ammunition was locked and stored separately in a box. There was a total of five cameras, three located outdoors, and two indoors and which met the title 22 camera policy. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Clients' files staff files were reviewed and found to comply. 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 discussed and provided to Licensee.

met_with: Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On November 5, 2025, Licensing Program Analyst (LPA) Claudia Aguilera conducted an annual inspection at Judith Small Family Home (SFH). The home is licensed to served one non-ambulatory, one bedridden, and two ambulatory clients. Currently, the facility has placement of three ambulatory clients. The facility was toured inside and out with the Licensee, Judith Kuria. The home is two story residence with 7 bedrooms and 5 bathrooms. During the inspection, LPA observed that the downstairs consisted of the kitchen with pantry, living room, lounge room, bathroom #1, a laundry area , a closet, and dining area. Bedroom #1 was vacant with one queen size bed, closet, and dresser, it would sleep one bedridden client, it has an exit door to the outside. Bedroom #2 is occupied by 16-year ambulatory client, it consists of closet, dresser, desk, and bathroom #2. LPA observed trash cans to have tight fitting covers. The kitchen was observed to be organized and clean, no sharps/knives were accessible to clients, soaps and cleaning supplies were also stored and locked. LPA observed a minimum of seven-day nonperishable supply of food and three-day perishable supply of food, and plenty of snacks. The medications were locked in a kitchen cabinet inaccessible to clients. Additional medications were stored in a locked mini refrigerator located in a small storage closet. The fist aid kit was stored in a kitchen cabinet and contained all required items. A family room was observed with a couch, television and fireplace. In addition, a lounge room was observed with two chairs, couch, and television. A computer area was also observed to be accessible to clients for homework and/or study. The garage was also inspected, LPA observed one vehicle, bicycles, storage containers, and one freezer for additional food. ... The second level of the home consisted of bedroom #3 which is occupied by licensee's biological son which includes bathroom #3. Bedroom #4 is occupied by the licensee and spouse; it also includes bathroom #4. Licensee stated weapons are stored in bedroom #4's closet. LPA observed two locked safes, one for the weapons and one for the ammunition. LPA observed a large loft area that included a television and couches. A linen closet was also observed in the upstairs hallway with clean linens and towels. LPA observed a full laundry room that included a washer and dryer and locked detergents/cleaning supplies. Bedroom #5 consisted of closet, dressers, one vacant twin bed, and one twin bed occupied by 8-year old client. Bathroom #5 was observed and fully functioning it included a trash can with a tight-fitting cover. Bedroom #6 consisted of a closet, dresser, and one twin bed occupied by 8-year-old client. Bedroom #7 is occupied by the licensee's biological daughter. The water temperature was tested and measured at 116.8 degrees F. LPA observed all windows and screens to be in good repair. The smoke and carbon monoxide detectors were tested and operable. Two fire extinguishers were observed to be operable, one located downstairs and one upstairs. The following required posted items were observed to be accessible to clients, personal rights and current menu. The backyard was also inspected, and included a play set with swings and slides, there were no hazards or obstructions observed. There are two indoor cameras, both located in common areas (living room and upstairs hallway) and four outdoor cameras 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, a copy of this report was provided to Licensee.

met_with: Licensee Judith Kuria


summary: Facility Evaluation

raw_content:
Narrative:
On January 16, 2026, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Judith Small Family Home (SFH) pre-licensing inspection for a change of capacity. The home was licensed for a capacity of four clients (2 ambulatory,1 non-ambulatory and 1 bedridden). The licensee is applying for a capacity increase of one ambulatory client to have a total capacity of five clients. The Facility was toured both inside and out with the licensee. The home is a two-story building with seven bedrooms and five bathrooms. During the inspection, LPA observed that downstairs consisted of the kitchen, a living room, a lounge, a dining area and two bedrooms. Bedroom #1, it consisted of one queen size bed, it sleeps one client, it has an exit door to the outside. Bedroom #2 it consisted of one twin-sized bed. It will sleep one client. Medications were stored in the kitchen cabinet on the left side of the stove. Sharp knives were inaccessible and stored in a locked cabinet below the stove. The First Aid Kit was in the kitchen cabinet and contained all required items. The garage was inspected and used for cars. The water temperature was tested and measured at 118 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. There was a variety of snacks available for clients. In addition to the downstairs space, there were also two full bathrooms fully functioning and large space under the stairs has a laundry room. A trash can was observed to have tight fitting cover. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. The clients' medication log records were kept updated with no discrepancy. Two fire extinguishers were observed and operable. Upstairs was bedroom #3, it was fully furnished with one queen size bed, a full bath; it sleeps a biological son, age 11. Bedroom #4, it was fully furnished with two twin beds; it sleeps one client. Bedroom #5 was fully furnished with a twin-sized bed, a closet and plenty of storage space. It will sleep one client. It was vacant. Bedroom #6 sleeps a biological daughter seven-year-old and was fully furnished, has a closet, storage space. Bedroom #7, a master bedroom for the licensee and the spouse, it consisted of a king size bed and a bathroom. The licensee's bedroom is not accessible to the clients. All bedrooms were arranged for 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. There were adequate drawers and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes an additional laundry room, storage, a loft, and an additional bathroom used by the clients. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. Licensee states that there was a gun/weapon in the home and that the gun is locked and stored separately in a coded safe, and the ammunition is locked and stored separately in a coded safe. The licensee was reminded that the gun was locked and stored separately in a coded safe, and the ammunition was locked and stored separately in a coded safe. There was a total of five cameras, three located outdoors, and two indoors which met the title 22 camera policy. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Clients' files and staff files were reviewed and found to comply. Based on today's inspection and observations, there are no deficiencies being cited at this time. The request for a change of capacity will be provided to licensing program manager for final approval. An exit interview was conducted, and a copy of this report was discussed and provided to Licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2026, licensing program analyst (LPA) Babatunde Aborchie conducted a case management inspection to interview about background check clearance and staff association to the facility. LPA gathered petinent documents for review. Due to the need to gather additional information, LPA will return at a later date.


summary: Facility Evaluation

raw_content:
Narrative:
On August 15, 2023 at 2: PM Licensing Program Analyst (LPA) Babatunde Aborchie began a Pre-Licensing inspection for a Small Family Home license. LPA met with applicant Judith Kuria who led a tour of the home. The facility was toured both inside and out with the applicant. Applicant is applying for a capacity of 4 ambulatory clients. The home consists of: Downstairs: Bedroom #1, It was furnished with two twin beds. It will sleep two clients - Vacant. There were also a family room, a living room, dining area, a kitchen, a pantry, storage and one bathroom. Upstairs: Bedroom #2, The room consisted of two twin beds. It sleeps one biological daughter, age 5 years. Bedroom #3, The room was furnished with a bunk bed. It sleeps biological son age 9 years. Bedroom #4, Master bedroom. The room consisted of one king sized bed. It sleeps the applicant and the spouse. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility there were two fireplaces properly screened. Telephone service and appliances were in a working order. Medications are locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in locked kitchen cabinet. There was a gun or weapon stored and locked in a safe in the master bedroom closet as stated by applicant. The hot water temperature was tested and noted to be 112 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit were accessible with all required items and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. 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 to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee

met_with: Judith Kuria


facility_name: JZR FAMILY HOME, THE

summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2025, at 09:45AM, Licensing Program Analyst (LPA) Rachel Vanegas met with The JZR Family Home Small Family Home Applicant, Heather Fava, at the Riverside Children's Residential Program Regional Office for the purpose of conducting a Component II meeting. LPA discussed corrections and revisions needed for the Program Statement. The following is a summary of the corrections and revisions discussed and requested. These revisions are due by close of business on July 14, 2025. Program Statement Corrections Needed B7. Facility Program Description - Please review and include page numbers and a Table of Contents - Please clarify client population and source of placement intended for your program o Remove mention of medically fragile youth as it no longer applies, per our discussion. - Please write out any use of acronyms prior to using the acronym (For Example: I.S.P) - Please provide a monthly activity schedule Medication Procedure: - Please review and clarify the person(s) responsible for completing the medication administration documentation - Please review and revise that medication documentation will be tracked on the appropriate Medication Administration Record (LIC 622A or LIC 622B) - Please review and include the process for JV220 court authorization for psychotropic medication administration **** - Please include that there can be temporary administration of psychotropic medication authorized on the JV220(A) Physician's Statement while the JV223 is pending - Please review and include policy for psychotropic medication use, documentation, administration, how the facility will obtain a copy of the current court order, or written authorization for each psychotropic medication - Please describe how the facility will obtain consent forms for the facility to authorize medical care - Please review and provide more information regarding documentation for medication refusal policy, etc. - Please include medication storage procedures (refrigerated and non-refrigerated) Ordering of Medication Prescription: - Please review and clarify the medication disposal policy - Please review and clarify what the "Medication Disposal Sheet" is (LIC 622) Medication Fading Plan: - Please review and clarify what "physical prompts" means and will look like when providing prompts - Please review and explain what the qualified behavior modification plan is - Please review and revise the "test that involves three questions..." to be clear and concise. - Please review and expand on the description of "Licensee signs off" on daily supervisory notes - Please review and revise the mention of "adult normalization..." to align with the population that you intend to serve - Please review and revise the Monitoring of Side-Effects system to ensure compliance and notification to authorized representatives and prescribing doctors, documentation, etc. Medication Refusal Procedures: - Please review, clarify, and revise the report to the Licensee of a medication refusal - Please provide a statement stating that medication errors and refusals will need to be reported and documented to Community Care Licensing (CCL), per reporting requirement time frames. House Rules: - Please review, revise, and clarify house rule Number 2 **** Personnel Policies - Please review and revise mandated reporting section to include the complaint hot line, child protective services - Please review and revise the statement to include reporting of any suspected child abuse Admission Agreement - Please review and revise the location of "Job Description Licensee/Helper" page, it is currently between pages of the Admission Agreement - Personal rights, please include statement for the review and signed acknowledgement of the personal rights form (LIC 613B) to be reviewed and signed by the client and authorized representative during intake Pre-Entrance Criteria - Please review and revise statement for requested face to face interview with the child and involved family members to also include authorized representative(s) or placing agency - Please review and include the medical assessment to be completed within thirty days of placement, including documentation of tuberculosis screening completed by a medical professional Entrance Criteria - Please review and revise the ages identified in this section to align with the ages identified on the first page of the program statement - Please remove "non-ambulatory" Exit Criteria - Please remove any reference to eviction of clients from the home Meal Menu - Please review and include alternate meal options for clients **** Transportation Arrangements: - Please include a transportation section to describe how the motor vehicles used to transport clients shall be maintained in a safe operating condition, licensee and staff are prohibited from smoking a tobacco product or permitting any person to smoke in a vehicle used to transport clients, regardless of when clients are in the vehicle or not, whether the vehicle is moving or at rest. - Please include California Car Seat Law requirements for child seat belt requirements. Grievance Policy: - Please include a procedure to include timelines and policy for grievance/complaints to be submitted by clients. - Please include who will respond to the complaint, the time frame, how the outcome is documented, where the policy is documented and posted in the home - Please include Community Care Licensing reporting requirements and Complaint Hot Line Information Rules of Discipline: - Please provide a statement that discipline does not include a violation of personal rights - Please provide a clear statement that there will be no corporal or unusual punishment used Please review and include information regarding Camera Uses and Locations in accordance with Children's Residential Program Provider Information Notice 24-09. 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. LPA Vanegas conducted an exit interview and a copy of this report along with the signed LIC 281C, Care Tools Pre-licensing form, and Children's Residential Program Provider Information Notice 24-09 were reviewed and provided to the applicant, Heather Fava.

met_with: Applicant - Heather Fava


summary: Facility Evaluation

raw_content:
Narrative:
On August 26, 2025 at 10: AM, Licensing Program Analyst (LPA) Rachel Vanegas arrived at The JZR Family Home Small Family Home (SFH) to conduct a pre-licensing inspection. LPA met with Applicant Heather Fava 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 one story building with three bedrooms and two bathrooms which are set up as follows: Bedroom #1 (Master) has one bed and sleeps the Applicant and Spouse. It has one crib and will sleep one client. Bedroom #2 (Biological Child/Client) has two single beds and sleeps the applicant's biological child and will sleep one client. Bedroom #3 (Biological Children) has two single beds and sleeps the applicant's two biological children. The home also consists of a great room/living room, kitchen, dining area, two bathrooms, a laundry room located in the garage, a two car garage which is locked and inaccessible to clients in care, and the backyard. The backyard contains a storage shed that is properly locked and inaccessible to clients in care. There is a properly fenced and secure fire place in the living room. The client's bedrooms were arranged so that no more than two children 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 client's belongings. There were combo smoke/carbon monoxide detectors in every bedroom and hallway. The combo detectors were checked and in properly functioning order. *Continued on the next page* The home's central air conditioning module was located in the back yard. The home's water heater was located in the garage. The home appliances were in working order at the time of this inspection. The client and staff files will be locked in a closet in the applicant's bedroom. There was adequate food storage space. LPA observed a two day supply of perishable and a 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 sharp knives are in a locked container in a kitchen cabinet above the refrigerator, inaccessible to clients. The medications will be located in a locked storage cabinet in the hallway. The hot water in the kitchen was measured and registered at 129.3 degrees Fahrenheit. The home's First Aid kit was accessible and is located in a kitchen cabinet and contained all required supplies. There are two fire extinguishers present in the home. One fire extinguisher is located in kitchen near the dining table and one is located in the garage. They were both 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 one above ground pool at the home at the time of this inspection that requires proper covering/fencing. The applicant stated the above ground pool will be taken down and removed. The backyard where clients will have access to play is fenced. The home has five security cameras located on the outside perimeter of the home (front driveway, front door, front side gate, and backyard (left), backyard (right)). The following corrections need to be made to the home: Post personal rights, Complaint Hotline, Grievance Policy, House Rules, Activity Calendar, Meal Menu, and LIC 610C need to be posted. Water heater temperature was adjusted at the time of this visit. Confirmation of temperature within regulated range (105 - 120 degrees Fahrenheit) will be sent to LPA Vanegas. Submit proof of removal of the above ground pool once it has been drained and removed from the backyard. Submit proof of eligible background clearance for adult child residing in the home. 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, Heather Fava. Application will be forwarded to the Licensing Program Manager for Licensing upon receipt and confirmation of corrections made.


facility_name: K & K HOME CARE

summary: Facility Evaluation

raw_content:
Narrative:
On 3/6/ Licensing Program Analyst (LPA) Dawn Mahecha met with applicant Kacey Mobley Andrews via tele-inspection. LPA met with applicant via tele-inspection based on unavailable space during time of office refresh at the Monterey Park Children's Residential office. The purpose of tele inspection is to discuss next phase of applicants review for licensure and component 2 requirements. LPA and applicant discussed the following: · Fingerprinting and associating individuals to facility. · Financial information and supportive documentation ( Surety Bond). · Personnel report · Program Statement/ Plan of operation · Component 3 orientation Applicant will update program statement, update financial report, personnel report, emergency disaster plan, and provide updates to LPA by April 4, 2025. Exit interview completed, no deficiencies cited, and a copy of this report was given to applicant.

met_with: Kacey Mobley Andrews


summary: Facility Evaluation

raw_content:
Narrative:
On 4/15/ Licensing Program Analyst (LPA) Dawn Mahecha met with applicant Kacey Mobley via virtual teams meeting for the purpose of a Case- management- other inspection. The purpose of the inspection was to conduct the component 3 section of the application process. LPA played the component 3 pre recorded video and provided guidance to applicant on where to obtain outstanding documents and scheduled pre licensing visit. Exit interview was completed and no deficiencies were cited.

met_with: Kacey Mobley, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On 5/21/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the K and K Small Family Home for the purpose of a Pre-licensing inspection. LPA met with applicant and together did a walk thru of facility. LPA observed the following: This is a single story single family home located in a residential area. This home is a three (3) bedrooms, two (2) bathroom home with two (2) living spaces, kitchen, and attached garage. Home has backyard and cameras located on exterior of home. Cameras do have sound capabilities and are monitored by applicant. No cameras are located in private restricted areas of home. LPA observed the following: Kitchen- Had required perishable and non- perishable food, pantry and locked cabinets for cleaning supplies and knives located in closet adjacent to bedroom #1. Outside of kitchen area was a fully charged fire extinguisher and first aid kit. Dining room table had required amount of seating for capacity of 3 children. Living space occupied by one (1) sectional, TV mounted on wall. Storage closet adjacent to bedroom #1 occupied by filing cabinet for client files, knives, cleaning solutions and medications. Bedroom 1: Vacant, occupied with one (1) queen size bed, closet and dresser drawers available Bedroom 2: Vacant/ occupied with one (1) toddler twin bed, and one (1) crib, dresser drawers available. Bedroom had no closet present at time of inspection. Bathroom #1: located adjacent to master bedroom- Occupied by one (1) jet tub and shower. Door lock is latch lock from inside of door. Bedroom Master bedroom: Occupied by applicant, closet, door to bedroom able to be locked on inside. Applicant to change locking mechanism on door to make room inaccessible to children in care. Bathroom #2: Located off of storage/ laundry area. Lock has a dead bolt on inside of bathroom leading into storage area. Applicant to change lock mechanisms to make storage/ laundry area inaccessible to children in care. Backyard: Consisted of full barbecue grill, shed and bar area with various areas of seating. Locking mechanisms were available to make areas inaccessible to children. Garage: Occupied by various items of storage. Laundry/ Storage area occupied by one washer/ dryer and various items including decorations and utensils. Area is accessible off of second bathroom and garage. At the time of this inspection all carbon monoxide and smoke detectors tested audible. LPA observed a full first aid kit with all the required first aid kits. LPA told applicant to post LIC610C, activity log, menu, LIC500, facility sketch, license (once obtained) and to update emergency disaster book with client roster and LIC610C. Additionally, LPA told applicant to remove all alcoholic beverages and potentially hazardous items in bathroom #1 to area inaccessible to children. Applicant to obtain closet for bedroom #2. Water temperature measured at 147 degrees Fahrenheit. LPA told applicant to adjust water temperature to meet regulation of a temperature between 105 and 120. At the time of this inspection home was clean and free of all obstructions. Applicant to send LPA pictures of items discussed and corrections made. Exit interview completed, no deficiencies cited and a copy of this report was provided to applicant.


facility_name: K3 CARE SERVICES

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The Following Allegation was reported: 1. The staff hit a minor in care. The Licensee (S1) refuted the claims, asserting that they do not condone physical or verbal abuse as a disciplinary method. Instead, S1 prefers to incentivize positive behavior through rewards or by revoking privileges such as access to electronic devices. S1 further elaborated on their active participation in their children's daily lives, ensuring that they provide all necessary support for the children's success. S1 mentioned having a discussion with FC1 about the discrepancies in FC1's academic performance and emphasized the significance of honesty regarding their after-school activities for safety reasons. A statement from FC1 confirmed that they felt secure and enjoyed living in the SFH with S1. However, when questioned about the alleged incident, FC1 claimed that S1 had punched them in the stomach and kicked them in the leg after FC1 admitted to struggling with their grades. FC1 could not provide additional details about the incident and stated that no one else was present at that time. FC2 also denied the allegations, stating that they had never witnessed or heard S1 engage in any form of physical or verbal abuse within the home. FC2 further clarified that while they were in their room, they overheard a conversation between S1 and FC1 regarding academic issues, as their rooms were adjacent, but they denied witnessing any physical altercation. Information gathered from S2 and S3 indicated that S1 is highly engaged with the children, frequently taking them on trips and assisting FC1 and FC2 with their homework as needed. Additionally, the findings from the Bakersfield Police report # GO# 2024-215730 indicated that the discrepancies in the accounts provided by both FC1 and FC2, coupled with the injuries not corresponding to a fist impact to the abdomen, led to the conclusion that there was insufficient probable cause to arrest S1 for child endangerment under PC 273a. Furthermore, FC1 has not expressed any issues regarding residing in the SFH residence and has shown a willingness to return to the home. Therefore, based on the information received, the above allegation is determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, therefore the allegation is found to be unsubstantiated. Appeal Rights were provided and discussed with the Licensee. There are no deficiencies to be cited at this time. An exit interview was conducted and a copy of the report along with the (LIC 811) was left with the Licensee.

Investigation Findings:
13On February 26, 2025, at 1: PM, Licensing Program Analyst (LPA) Winston Moroney conducted a complaint inspection at K Care Services Small Family Home (SFH) and met with the SFH Licensee Kellee Gray. The inspection aimed to deliver the finding(s) regarding the complaint allegation(s). On October 18, 2024, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): The staff hit a minor in care. This LPA conducted the investigation of the above allegation(s) and it consisted of but was not limited to a review of records, including the children's needs and services plans, medical records, and interviews with the Licensee (S1) on 10/22/24, FC2 on 10/22/24, Staff members (S2), (S3) on 11/18/24, and FC1 on 10/23/24. (Reference Confidential Names Form LIC 811, dated February 26, 2025). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Winston Moroney LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: K CARE SERVICESFACILITY NUMBER: VISIT DATE: 02/26/2025

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

report_type: Complaint Investigation

met_with: Kellee Gray

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Investigation revealed the following: It was alleged staff locked minor out of the facility. Administrator and staff denied the allegation. Administrator and staff stated that child was having behaviors and was attempting to runaway from facility. Staff stated they have been instructed to have child assessed when child is having behaviors. Administrator stated they were telling law enforcement that and they did not want to take child. Child was taken and placed on a hold and they temporarily removed child from care. Two weeks later child was brought back to facility, and we have had no issues. Interviews conducted with CSW identified having concerns with the facility. CSW stated that one child was having behaviors and became agitated with staff. CSW stated that child started destroying things within the facility and staff called police. CSW stated that police were denied entry into the facility and transported child to another facility. CSW stated they tried to obtain child medication and have child picked up from facility and K3 staff refused to pick child up or provide child's medication. Witnesses stated that staff did not lock child out. Witnesses identified a child having behaviors and being destructive in the facility and that staff were trying to have child assessed. Witnesses stated that law enforcement was called and were refusing to take child even though it was relayed to law enforcement that child was being a danger to themselves or others. LPAs attempted to reach law enforcement but was unable to reach anyone. Child denied being locked out of facility and stated they wanted to return to facility due to bond with facility staff. Documents reviewed identified an incident occurring in the home where child was taken to another facility by local law enforcement due to behaviors. Documents also showcased that child has behaviors that if escalated should be assessed for possible committal. However, it is unclear as to whether staff locked child out of facility as statements made differed. Based on information gathered, although the allegation may have happened or is valid, the preponderance of evidence to prove the allegation was not met, therefore the allegation is unsubstantiated. An exit interview was conducted. A copy of this report Confidential Names Form, and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On 6/18/2025 at 10: AM, Licensing Program Analyst Juliet Robles made an unannounced visit to the K3 facility on behalf of LPA Dawn Mahecha for the purpose of concluding the above complaint investigation. LPA met with Kellee Gray and discussed the following findings. Investigation consisted of the following: On 1/17/ LPA Winston Moroney made initial 10-day. On 5/15/ LPA Dawn Mahecha telephoned facility and interviewed administrator. Between 5/23/2025 and 6/12/ LPA Elnora Smith interviewed or attempted to interview county social workers (CSWs), children and witnesses. (Reference LIC Confidential Names Form, dated June 18, 2025). LPA obtained supportive documents and documented reports of incidents. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Juliet Robles LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: K CARE SERVICESFACILITY NUMBER: VISIT DATE: 06/18/2025


summary: Facility Evaluation

raw_content:
Narrative:
On 02/15/2024 at 10: AM, Licensing Program Analyst (LPA) Pamela Silva conducted an announced pre-licensing inspection at the above address. LPA met with Kellee Gray, applicant. A physical plant inspection was conducted. The following were observed at the time of inspection: This facility is a two- story home located in a residential neighborhood. The facility consists of 5 bedrooms, 2 and a half (2.5) bathrooms, a game room, a living and family room, kitchen, dining room,3-car garage, a laundry room, and a backyard. Overall, the facility is clean, sanitary and in good condition. The facility has no bodies of water. The facility has a centralized heat and air-conditioning unit. Temperatures in all rooms are maintained at 68 degrees (F). The hot water temperature was measured at 106 degrees (F). Carbon monoxide and smoke alarms were tested and observed to be operational. There are two (2) fire extinguishers, one in the family room and one in the hallway on the second floor. Disinfectants, cleaning solutions, knives and sharps are kept in a locked closet in the hallway. The facility has a working telephone. The applicant reports no firearms on the premises. The grounds are free from obstructions and hazards. Clients will be utilizing bedrooms #2, #3, #4 and #5. During inspection, LPA observed that each bedroom has one (1) bed and has adequate closet and drawer space to accommodate client's clothing and personal belongings. Bedroom #1 will be occupied by the applicant. Each bed has clean pillows, pillowcases, bed sheets and blankets. LPA also observed extra linens stored in the hallway closet in the second floor. Client records and staff records will be stored and locked in the hallway closet in the living room. Medications will be centrally stored in the hallway closet in the second floor. A complete first aid kit is readily available in a central location in the facility. Applicant reports that License, Emergency Plan (LIC 601) and facility sketch will be posted at the facility. The fire clearance inspection has been completed. LPA also conducted Component III - Category Specific Orientation with the applicant. The following items were discussed and provided to the applicant: -Title 22 regulations on Small Family Homes - Continuing Requirements (General Licensing Requirements) - Personnel Records (forms) - Client Records (forms) -Reporting Requirements - Other administrative forms Applicant submitted the final Program Statement/Plan of Operation to LPA. Applicant also submitted the revised LIC200. An exit interview was conducted a signed copy of this report was provided to the applicant.


summary: Facility Evaluation

raw_content:
Narrative:
On June 6, 2024 at 3: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection. Purpose of the inspection was to pick up late filed incident reports and TB test for Mr. Alberto Jimenez. Reports and TB test were received. LPA interviewed S1 (see confidential 811 dated June 6, 2024) regarding late filing incident reports. LPA discussed the procedures to send in the reports and the email address to send them to. LIC 624 discussed. LPA discussed SFH regulations. LPA will send email of Care Tool so the Administrator can review. Technical Advisory was discussed with Administrator. Exit interview conducted. Signed copy of the 809, confidential names list and appeal rights were left with Administrator.

met_with: Kellee Gray-Administrator


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On February 18, 2025 at 12: P,M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced Annual Inspection at the above named facility. LPA met with Licensee, Kellee Gray. The facility currently has a Small Family Home (SFH) license. The SFH is licensed to serve up to six (6) clients ages 3 to 17. The facility can serve ambulatory developmentally disabled clients, Regional Center clients, County placed clients and provide one on one care. There is currently one (1) client in placement. The LPA requested the following: Personnel Report LIC500, Client Roster, Clients and Staff Files. The facility is a two-story home with 6 bedrooms, living room, kitchen, backyard and two (2) full bathroom with one (1) toilet in each and one half bathroom. There are no firearms or ammunition in the facility. There are no bodies of water in the facility premises. At 1: P.M., LPA conducted a walk-through of the entire facility. Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are kept inaccessible and locked in a storage area. Sharps/knives are inaccessible and stored in a locked storage area. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked room in the hallway. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguisher was fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 120 degrees F. All sinks, showers and toilets are in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Overall, facility is clean, safe, sanitary and in good repair. Continued.... .......continued Operations Facility maintains a register of clients and the register is available upon request. The facility administrator/licensee and capable staff are responsible for communicating with emergency personnel in the facility. Client Records LPA reviewed one (1) client record. Client record was available to the licensing agency to inspect, audit and copy upon demand. Client record contained required information including, but not limited to, consent forms, individual treatment plans, medical assessment, safeguards for cash resources, personal property and valuables; personal rights forms; and medication administration records. Updated JV220 was not observed Staff Records LPA reviewed five (5) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator/licensee meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. LPA verified direct care staff training's. There was one citation and two (2) technical advisories assessed during this inspection. Exit interview conducted.

Deficiencies:
91754: K3 Care Servicesfacility Number: 157807019 Visit Date: 02/18/2025 Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32.......continued
Operations

Facility maintains a register of clients and the register is available upon request.

met_with: Kellee Gray- Licensee

title: Facility Name


summary: Facility Evaluation

raw_content:
Narrative:
On February 27, 2025, at 11: A.M. Licensing Program Analyst (LPA) Demetris Teal conducted a follow up inspection of the home. LPA met with Kellee Gray and requested to observe the locked bedroom, upstairs. LPA toured the upstairs locked bedroom and found it to be in order. No deficiencies found. Exit interview conducted. A copy of the 809 including appeal rights were left with the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On August 28, at 10: AM, at 10: AM, Licensing Program Analyst (LPA) Karen Suh, conducted an announced Case Management Inspection, at K Care Services Small Family Home (SFH) and met with Kellee Gray, Administrator. The purpose of the inspection was to discuss information obtained during complaint investigation. During the investigation, video footage of the law enforcement was obtained and reviewed. One of the footages showed a staff (S1) used inappropriate language to a client (C1). Therefore, a technical violation is being issued to provide personal rights and emergency intervention training to all staff. An exit interview was conducted. A copy of this report and Confidential Names (LIC811, dated August 28, 2025) were provided to the facility representative.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 29, 2025 at 1: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at K3 care services. LPA met with Kellee Gray-Licensee. Purpose of the visit was to discuss incident reports received by Community Care Licensing (CCL). LPA discussed two (2) incident reports CCL received on October 10, 2025. the two (2) incident reports were dated October 6, 2025. These reports were received late. A citation will be issued for late reporting. LPA discussed with Licensee the Administrator listed as Carrie Ontiveros. Licensee said she was unaware and did not approve this person. Licensee said she did not submit a request to CCL. LPA discussed with Licensee incidents that occurred during a complaint inspection. LPM Yeung requested LPA to follow up on staff training's that are needed at the SFH. LPA discussed with Licensee. Facility cited for violations of California Code of Regulations, Title 22, Division Section 80061 (b)(1)(E) Reporting Requirements. An exit interview was conducted. A signed copy of this report along with 811 (Confidential Name List), and appeal rights were left with Licensee.

Deficiencies:
80061: (b) Upon the occurrence,...a report shall be made to the licensing agency within the agency's next working day...(1).Events reported shall include the following:..(E) Any unusual incident......

met_with: KELLEE GRAY-Licensee

title: Reporting Requirements


summary: Facility Evaluation

raw_content:
Narrative:
On March 18, 2025 at 5: P.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management discussion at K3 care services. LPA met with Kellee Gray- Licensee/Administrator. Purpose of the visit was to discuss incident reports received by CCL. LPA discussed five (5) incident reports received on January 14, 2025. Two (2) were dated January 5, 2025 and two (2) were dated January 6, 2025. These reports were received late. Citation will be issued for late reporting. On January 14, 2025, CCL received an incident report informing the department that K Care Services staff went to the facility mail box and retrieved a package addressed to a K Care Services client. K Care Services staff opened mail belonging to a client. Based on discussions with the Licensee/Administrator, she were not aware of any court order disallowing the opening of clients mail. Licensee/Administrator will check to see if there was a court order. Citation will be issued. Facility cited for violations of California Code of Regulations, Title 22, Division Section 80061 (b)(1)(E) Reporting Requirements, 83072 (d) (9) Personal Rights. An exit interview was conducted. A signed copy of this report along with 811 (Confidential Name List), and appeal rights were left with Licensee/Administrator.

met_with: Kellee Gray- Licensee/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 11, 2026, at 1: P,M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced Annual Inspection at the above named facility. LPA met with Licensee, Kellee Gray. The facility currently has a Small Family Home (SFH) license. The SFH is licensed to serve up to six (6) clients ages 3 to 17. The facility can serve ambulatory developmentally disabled clients, Regional Center clients, County placed clients and provide one on one care. There are currently three (3) clients in placement. The LPA requested the following: Personnel Report LIC500, Client Roster, Clients and Staff Files. The facility is a two-story home with five (5) bedrooms, living room, kitchen, backyard and two (2) full bathrooms with one (1) toilet in each and one half bathroom. There are no firearms or ammunition in the facility. There are no bodies of water in the facility premises. At 1: P.M., LPA conducted a walk-through of the entire facility. Continued...... ...continued Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are kept inaccessible and locked in a storage area. Sharps/knives are inaccessible and stored in a locked storage area. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked room in the hallway. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguisher was fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 120 degrees F. All sinks, showers and toilets are in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Overall, facility is clean, safe, sanitary and in good repair. Operations Facility maintains a register of clients and the register is available upon request. The facility administrator/licensee and capable staff are responsible for communicating with emergency personnel in the facility. Client Records LPA reviewed three (3) client record. Clients record was available to the licensing agency to inspect, audit and copy upon demand. Clients record contained required information including, but not limited to, consent forms, individual treatment plans, medical assessment, safeguards for cash resources, personal property and valuables; personal rights forms; and medication administration records. Clients are not prescribed psychotropic medicines. Staff Records LPA reviewed five (5) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator/licensee meets the required qualifications and/or experience. Documentation of the required education and experience requirements are maintained in the personnel file. LPA verified direct care staff training's. LPA observed one (1) out of five (5) staff that did not have a copy of their CPR certificate. There was one citation and two (2) technical advisories assessed during this inspection. Exit interview conducted.

met_with: Kellee Gray-Licensee


summary: Facility Evaluation

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Narrative:
On March 16, 2026, at 10: A.M. Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced case management inspection at K Care Services. LPA met with Christina Castaneda-Direct Care Staff. Purpose of the visit was to follow up on a incident report dated February 21, 2026. LPA confirmed with staff that during a routine cleaning of C1's room, C1's backpack was cleaned out. While staff was cleaning out the backpack, staff observed a vape pen and a razor in one of the backpack pockets. Staff advised LPA that it is normal for staff to clean out the backpack without asking the clients permission. LPA advised staff that this is a violation of clients personal rights. Based on this information, the facility is cited for California Code of Regulations, Title 22, Division Chapter Section 83072 (d)(6) Personal Rights. See 809D. An exit interview was conducted and a signed copy of this report along with 811 (Confidential Name List), and appeal rights were left with staff.

met_with: Christina Castaneda-Direct Care Staff


facility_name: KALNS SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On Wednesday January 18, Licensing Program Analyst (LPA) Linda Haynes met with Applicant Kameron Taylor via Microsoft Teams for a Component II interview. LPA inquired about documents requested on the LIC 184. Applicant will provide missing documentation as soon as possible or at scheduled pre-licensing. A pre-licensing visit has been scheduled with applicant for January 27, 2023.. Exit interviewed conducted. A copy of this report was emailed to applicant Kameron Taylor for signature. a signed copy will be placed in applicants file.

met_with: Kameron Taylor


summary: Facility Evaluation

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Narrative:
On January 27, 2023 at 10: AM, Licensing Program Analyst (LPA) Linda Haynes began a pre-licensing inspection for Kalns Small Family Home license. LPA met with applicant Kameron Taylor who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients placed in the home. The applicant is applying to serve three clients ages 0 to 17. The home is a one story building with four bedrooms and two bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed, will sleep the licensee, and has a master bathroom. · Bedroom #2 (Client) was vacant, had one twin; and will sleep one client. · Bedroom #3 (Client) was vacant, had two twin-sized beds. It will sleep two clients. · Bedroom #4 (children's) has two twin size beds, and will sleep applicants daughters.. · A great room/living room, kitchen, dining area, two bathrooms, an attached two car garage, a laundry room, storage closet, and the backyard. The Client's bedroom was arranged so that no more than two clients will share the 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 space for the client's belongings. There was a smoke detector in every bedroom and a carbon monoxide detector located in the hallway. The four smoke detectors and the carbon monoxide detector were checked, and they were working properly. The home's central air conditioning module was in the back yard. The home's water heater was located in a hot water closet that can be accessed from the side yard. The Fireplace had glass doors and a gate. The appliances were in working order. : The client's files will be locked inside a locked cabinet in the applicant's room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable foods. A proper storage of all food was discussed. A trash can for storage of solid waste with a tight-fitting lid and was located next to the refrigerator. The hot water in the Master Bathroom measured to be 117.3 degrees Fahrenheit. The client bathroom also had a trash can with a working lid. The water temperature of the client bathroom was observed to be 121.3 degrees Fahrenheit. The home's First Aid kit was accessible the first aid kit was missing the first aid manual, Band aids, tweezers, scissors, and adhesive tape and located in the cabinet next to the refrigerator. A fire extinguisher was present in the home and located under the kitchen sink. It was observed to be properly charged but needs to be inspected by the fire department. Applicant stated there were no weapons/firearms in the home. LPA observed there was no swimming pool. The backyard where clients will have access to play was completely fenced. The following deficiencies were observed: The required forms needed prior to operation, were not posted at the time of this inspection. The First Aid Kit was missing the first aid manual, Band aids, tweezers, scissors, and adhesive tape. The fire extinguisher needs to be checked by the fire department. The water temperature in Bathroom 2 measured to be 121.3 degrees. The request for a license will be forwarded to Licensing Program Manager for final approval once the Plan of Corrections are cleared. An exit interview was conducted. A copy of this report was provided to Kameron Taylor.


summary: Facility Evaluation

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Narrative:
On March 26, 2024 at 9: AM, Licensing Program Analyst (LPA) Linda Haynes, met with administrator Kameron Taylor who granted access to the home. The purpose of this visit was to conduct an annual inspection of the small family home. Presently there is two clients in placement and one client was present during the inspection. The home is a single story with four bedrooms and two bathrooms. Bedroom #1 has one twin bed, and sleeps one client Bedroom #2 has one twin bed, and sleeps one client Bedroom #3 has two twin bed's and sleeps the daughter's Bedroom #4 is the master bedroom, it is occupied by administrator. Bedrooms are arranged so that there is no more than one client per room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. LPA observed the screen door on the back sliding door needs to be replaced a Technical Advisory note will be issued. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in cabinet in the kitchen. Cleansers/chemicals are locked in a closet, in the locked garage. Sharp knives are inaccessible and stored in a locked closet in the locked garage. The first aid kit is in a cabinet in the kitchen and contained all required supplies. There are no guns or weapons as stated by Licensee at this time. LPA observed tall weeds in the side yard leading up to the gate that need to be pulled for easier access to the gate a Technical Advisory note will be issued. The hot water temperature in bathroom 1 (master) was 106.8 degrees Fahrenheit, and bathroom number 2 was 107.8 degrees Fahrenheit. All facility smoke detectors and carbon monoxide detectors were checked and are in appropriate working order; fire extinguisher is properly charged and serviced. LPA reviewed 2 of 2 client files it contained all required documents. LPA interviewed one of two client's. LPA reviewed 2 of 2 staff files they contained all required documents. LPA interviewed 1 of 2 staff members. LPA observed a seven-day supply of nonperishable and a two day supply of perishable foods. A Technical Advisory Note will be issued for the repair of the screen door and to have the tall weeds pulled. Exit interview conducted and a copy of this report was discussed and left with Licensee.


summary: Facility Evaluation

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Narrative:
On July 30, 2025 at 10: AM, Licensing Program Analyst (LPA) Raina Perez-Diaz, met with administrator Kristan Wilson who granted access to the home. The purpose of this visit was to conduct an annual random inspection of the Small Family Home (SFH). Presently there is one client in placement and present during the inspection. The home is a single story with four bedrooms and two bathrooms. Bedroom #1 has one twin bed, and sleeps one client Bedroom #2 has two twin beds, and will sleep two clients Bedroom #3 has two twin beds, and will sleep two clients Bedroom #4 is the master bedroom, it is occupied by administrator. Bedrooms are arranged so that there is no more than one client per room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in cabinet in the kitchen. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients well. Cleansers/chemicals are locked in a closet, in the locked garage. Sharp knives are inaccessible and stored in a locked closet in the locked garage. The first aid kit is in a cabinet in the kitchen and contained all required supplies. There are no guns or weapons as stated by Licensee at this time. The following items were posted and observed accessible to clients: Personal Rights, Ombudsman Poster, emergency disaster plan, and Medi-Cal phone numbers. ***Continue LIC-809-C*** The home's dinning room was set up to seat six individuals with enough dishware for all clients in care. There are two fire extinguishers present in the home. One in the kitchen and another in the laundry room. They were observed to be properly charged and inspected by the fire department. The hot water temperature in client bathroom was 105.2 degrees Fahrenheit, which is within regulation. All facility smoke detectors and carbon monoxide detectors were checked and are in appropriate working order. The facility outside grounds were also inspected and it was observed to be clean and well maintained, emergency exits were free from obstruction. There is no pool or other body of water at the home. The backyard where clients will have access to play is fenced. An inspection of the outside portion of the home revealed the sliding screen door on the back sliding door frame was bent and off of the sliding door opening, on the ground in the backyard; therefore, the home will be cited for SFH Interim Licensing Standards (ILS) BUILDING AND GROUNDS 83187(f) The home shall be clean, safe, sanitary, and in good repair at all times. Additionally, the facility completed a disaster drill in November 2024, but did not conduct the required six month disaster drill; therefore, the Licensee is being cited for violation of California Code of Regulations (CCR) 80023(d) DISASTER AND MASS CASUALTY PLAN Disaster drills shall be conducted at least every six months. LPA Perez-Diaz reviewed files for one client in care [Client #1 (C1)]. Clients' file was found to have Cash/Property/Valuables records, Medical Consent forms and signed needs and services plans. Based on interviews and record review it was determined C1 is currently 19 years old and is considered a Non-Minor Dependent (NMD); therefore, the Licensee is operating beyond the conditions and limitations specified on the license. The Licensee advised Community Care Licensing Department (CCLD) was made aware of the situation and C1 will be discharging from the SFH on August 7, 2025, to attend college; therefore, a Technical Violation was given with the understanding should Licensee continue to provide care to NMDs she needs to update the SFH program statement to include NMDs. LPA also reviewed four staff files for [Staff #1 - Staff #4 (S1-S4)]. All staff files reviewed have Department of Justice (DOJ), Federal bureau of Investigation (FBI) and Child Abuse Clearance Index (CACI) clearance, proof on file of acknowledging the child abuse reporting requirements and meet the minimum qualifications and training requirements per Community Care Licensing Regulations. ***Continue to LIC-809-C*** LPA interviewed one staff member and attempted to interview one client, however, they declined to be interviewed. A review of administrative records indicate that the facility has an outstanding balance for their current licensing fees: $1,362.00. The Licensee was provided California Department of Social Services (CDSS)'s fee payment web site link and facility pin to resolve their outstanding balance. Based on the facility inspection and file reviews on this date, two Type B violation and one Technical Violation were issued to the facility. Exit interview conducted and a copy of this report, LIC 811, LIC 809-D, and appeal rights were discussed and left with Administrator Kristan Wilson.

met_with: Administrator Kristan Wilson


facility_name: KD FAMILY HOMES

summary: Facility Evaluation

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Narrative:
On August 5th, Licensing Program Manager (LPM) Abdoulaye Traore and Licensing Program Analysts (LPAs) Cynthia Ramos and Maryjane Perez met with Applicants Keilan Banks and Deja Easter for a Component II. LPM and LPAs went over revisions needed for the application prior to licensure. LPA Ramos gave a copy of the LIC 184, Letter of Application Revisions, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to the Applicants.

met_with: Keilan Banks and Deja Easter


summary: Facility Evaluation

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Narrative:
On September 18, 2025, at 10:30AM Licensing Program Analyst (LPA) Cynthia Ramos completed a Pre-Licensing inspection at KD Family Homes Small Family Home (SFH). LPA met with Applicant Deja Easter who led a tour of the home. The facility was toured both inside and out with the Applicant. There are no children in placement. The home is a two-story home, with 4 bedrooms and three full bathrooms which are set up as follows: On the first floor of the home there is Bedroom #1 and is currently used as Applicant's office space, the kitchen, dining room and living room were also located downstairs. The kitchen was observed to be organized and clean and there was enough perishable and non-perishable food. On the second floor, Bedroom #2 is the master suite which contained a king size bed, this room sleeps Applicant and spouse. Per Licensee, this room remains locked at all times. Next to the master bedroom there was an additional living room area that had a television, computer, games and sofas. Bedroom #3 consisted of a fully furnished room, with a queen size bed with adequate drawer space, this room will be used as a client's bedroom. Bedroom #4 consisted of one set of bunk beds with adequate rails and adequate drawer space which will be used as client's bedroom. LPA observed all client's beds had linen, comforters, and pillows. The laundry area was located upstairs, chemicals/cleaners were locked under the laundry room sink, inside the laundry room there was a closet with additional linen and extra blankets for clients. The garage was locked and backyard patio were also inspected, and no hazards were observed. The clients' bedrooms were arranged so that no more than two clients 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 a smoke detector in every bedroom. The carbon monoxide/smoke alarms were tested and working properly. ... The home's central air conditioning module was in the backyard. The water heater was in the garage. The water temperate was measured at 116.4 degrees Fahrenheit. All appliances were in working order at the time of inspection. Medications were locked in box inside the downstairs closet which is also locked. Additionally, there was a medication box locked inside the refrigerator. Sharp items and knives were located inside the kitchen's pantry which was locked. Chemicals and cleansers were locked under the kitchen's sink. There was two fire extinguishers present in the home, one was located in the kitchen and the second was upstairs. Fire extinguishers were observed to be properly charged and inspected by the Fire Department. The First Aid Kit was located in the kitchen was accessible to future clients in care. The Applicant reported having a firearm in the home. LPA observed firearm to be locked inside a box, this box was located in the Applicant's bedroom (which was locked and will remain locked at all times) ammunition was stored separately. There is no pool in the home, however there is a community pool that is not accessible to the clients as it remains locked at all times. Corrections: · Trashcans with tight fitting lids · Thermometer for First Aid Kit Component III was conducted at the time of Pre-Licensing Inspection. An exit interview was conducted, and a copy of this report was provided to Applicant Deja Easter and application will be forwarded to Licensing Program Manager Abdoulaye Traore once corrections are submitted to LPA.

met_with: Applicant-Deja Easter


summary: Facility Evaluation

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Narrative:
On March 18, 2026, at 1:47PM Licensing Program Analyst (LPA) Cynthia Ramos completed a Post-Licensing inspection at KD Family Homes Small Family Home (SFH). LPA met with Licensee Deja Easter who led a tour of the home. The facility was toured both inside and out with the Licensee. The home is a two-story home, with 4 bedrooms and three full bathrooms which are set up as follows: On the first floor of the home there is Bedroom #1 and is currently used as office space, the kitchen, dining room and living room were also located downstairs. The kitchen was observed to be organized and clean and there was enough perishable and non-perishable food. On the second floor, Bedroom #2 is the master suite which contained a king size bed, this room sleeps Licensee and spouse. Per Licensee, this room remains locked at all times. Next to the master bedroom there was an additional living room area that had a television, computer, games and sofas. Bedroom #3 consisted of a fully furnished room, with a queen size bed with adequate drawer space, this room is currently occupied by 14 year old female client. Bedroom #4 consisted of one set of bunk beds with adequate rails and adequate drawer space which is currently occupied by 9 year old female client. LPA observed all client's beds had linen, comforters, and pillows. The laundry area was located upstairs, chemicals/cleaners were locked under the laundry room sink, inside the laundry room there was a closet with additional linen and extra blankets for clients. The garage was locked and backyard patio were also inspected, and no hazards were observed. The clients' bedrooms were arranged so that no more than two clients share 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 a smoke detector in every bedroom. The carbon monoxide/smoke alarms were tested and working properly. ... The home's central air conditioning module was in the backyard. The water heater was in the garage. The water temperate was measured at 117.1 degrees Fahrenheit. Medications are locked in Licensee's bedroom. Additionally, there was a medication box locked inside the refrigerator. Sharp items and knives were located inside the kitchen's pantry which was locked. Chemicals and cleansers were locked under the kitchen's sink. There was two fire extinguishers present in the home, one was located in the kitchen and the second was upstairs. Fire extinguishers were observed to be properly charged and inspected by the Fire Department. The First Aid Kit was located in the kitchen had all required items. The Licensee reported having a firearm in the home. LPA observed firearm to be locked inside a box, this box was located in the Licensee's bedroom (which was locked and will remain locked at all times) ammunition was stored separately. There is no pool in the home, however there is a community pool that is not accessible to the clients as it remains locked at all times. A total of 2 staff records and 2 client records were reviewed and were in compliance. Based on today's inspection, there are no deficiencies to be cited at this time. An exit interview was conducted, and a copy of this report was provided to Licensee Deja Easter.

met_with: Deja Easter


facility_name: KENNEDY MARINGA SFH

summary: Facility Evaluation

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Narrative:
On May 23, 2025 at 4:00 pm, Licensing Program Analyst (LPA) Charmaine Linley, met with applicant Kennedy Maringa for Component II Orientation via Microsoft Teams Meetings. LPA went over revisions needed for the application prior to licensure. LPA sent a copy of the LIC 184, Notice of Incomplete Application, and additional correspondence to assist with the revisions needed to the application via email. A copy of this report was provided to the applicant along with the signed Orientation form indicating Component II has been completed via email. A copy of this report will be placed in the facility file.

met_with: Kennedy Maringa


summary: Facility Evaluation

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Narrative:
On the date listed above, Licensing Program Analyst (LPA) Charmaine Linley conducted Component III - Category Specific Orientation Training for Small Family Homes with applicant, Kennedy Maringa, via Microsoft Teams. The Pre-Licensing Inspection has been scheduled for August 14, 2025, at 11:00 am. LPA sent a copy of this report to the applicant via email for signature. The applicant was provided with the email address to submit Incident Reports for the Riverside Office, cclpaccr@dss.ca.gov. A copy of the signed Orientation Certificate for completing Component III was also emailed to the applicant. A copy of the signed report will be placed in the applicant's facility file.