summary: Facility Evaluation

raw_content:
Narrative:
On September 11, 2024, at 10:00 a.m., Children's Residential Program (CRP) Licensing Program Analyst (LPA) Guadalupe Munoz, LPA Jacqueline Garcia, Licensing Program Manager (LPM) Ann Valenzuela, and Adult Senior Program LPM Alisa Ortiz met with CARE Small Family Home (SFH) Administrator, Michael Bradbury, Licensee's wife, Sarah Paul, and SFH House Manager, Ronald Almuete at the CRP Orange Local Office for an informal office conference. The purpose of the meeting was to discuss the following issues and concerns with the Licensee for CARE SFH regarding Title Continuing Care Requirements Section 80010(a) Limitations on Capacity and Ambulatory Status and Health and Safety Code (HSC) Section 1522(c)(1) Administration. On 8/26/ Community Care Licensing (CCL) conducted an unannounced random annual inspection and cited the SFH for allowing a 25 year old client to live at the facility. Upon file review CCL determined that all clients in placement were over the age of 18 years. Licensee reported that they have had multiple plans in the past regarding oldest client because they have been in placement since age of 10 years. Primary original plan was to change the home to an Adult Residential Facility to accommodate the client's needs. The clients have been in placement and the Licensee stated, "it's their community". However, Licensee has now decided against this plan for the SFH. The plan discussed at today's meeting includes another property owned by the Licensee. The additional property will be converted into an Adult Residential Facility. LPM Ortiz discussed the importance of submitting an application as soon as possible to initiate the licensing process. Continued on page LPM Ortiz also stated that they would communicate with the application unit, the urgency of the current situation of getting the SFH into compliance. The Adult Senior Care Unit will assist with contacting the Application Unit to expedite the process and communicate with Regional Center regarding the vendorization process. All clients over the age of 22 will be moved to new Adult Residential Facility once it is licensed and vendorized, and Licensee will submit new application and update the program statement to included clients ages 18 years of age through 22 years old to allow clients to remain in care up until their 23rd birthday. On 9/11/24 the following plan was developed: · Licensee will submit Adult Residential Facility application no later than 9/27/24. If they need additional time, they will contact LPA Munoz via email to request the additional time needed to submit application. · Home identified for Adult Residential Facility currently has a tenant living in it. They need to move out (family friend in the home) prior to Prelicensing. · AR Certificate has been completed for new home administrator. · Program Statement will be completed within the next two weeks. · LPA Munoz will communicate will Licensee weekly. The plan of correction is due to CCL by 9/27/24. If more time is needed to submit the plan of action or there are any questions, please contact LPA Guadalupe Munoz at guadalupe.munoz@dss.ca.gov or (949) 701-3475. A copy of this report was reviewed and provided to Licensee. The signed report will be placed in the facility file.


state: CA

facility_name: CARE

summary: Facility Evaluation

raw_content:
Narrative:
On May 21,2025 at 10:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz conducted an required unannounced annual inspection of the facility. The facility was toured inside and out with Ronald Almuete, House Manager The facility is a Small Family Home licensed for ambulatory and non ambulatory children ages 3-22 years old. The home currently has three clients. All clients are non-verbal. The single story home is set up as follows: Bedroom #1 contains two twin beds and sleeps one client. Bedroom #2 contains two twin beds and sleeps two clients. Bedroom #3 is the master bedroom and sleeps the licensee. 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 clients belongings. The bathrooms were clean and in good repair. The hot water in the client bathroom was measured 110.3degrees meeting regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will have access. Cleansers/chemicals are locked and stored in the hall cabinet in the hallway. The First Aid Kit is located in the locked cabinet in the hallway had all required supplies. The facility's smoke detectors in all the bedrooms and hallway were checked and were operable. The carbon monoxide detector located in front living room area was operable. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. Sharp knives are inaccessible and stored in a locked cabinet over the oven in the kitchen area. There are no guns or weapons in the facility as stated by the Licensee. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights and Emergency Disaster Plan. Clients medications were observed to be inaccessible and stored in locked cabinet in the hallway. The medication logs are kept updated and the dispensing records had no discrepancies. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is no swimming pool/bodies of water located on the premises. Prior to site visit, LPA conducted a facility file review and all required documents were included and administrative records indicate that the facility has paid their current licensing fees. Client and staff files were reviewed during the inspection. Three (3) client and staff files were reviewed. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances. Based on the facility inspection and file reviews on this date, the SFH is being cited for Title Continuing Care Requirements Section 80010(a) Limitations on Capacity and Ambulatory Status and Health and Safety Code (HSC) Section 1522(c)(1) Administration. A copy of this report was reviewed with Ronald Almuete, House Manager and a copy of this report along with a Confidential Names List (LIC 811) dated 5/21/25 was provided.

report_type: Facility Evaluation

visit_type: Annual

met_with: Ronald Almuete,


summary: Facility Evaluation

raw_content:
Narrative:
On April 13,2026 at 10:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz arrived unannounced to conduct the required annual inspection of the facility. Licensee was not home, therefore LPA contacted Licensee via cell phone. The licensee, Michael Bradbury arrived at 10:45 am and LPA initiated annual inspection. The facility was toured inside and out with Ronald Almuete, House Manager The facility is a Small Family Home(SFH) licensed for ambulatory and non ambulatory children ages 3- SPECIALIZED MEDICALLY FRAGILE. The home currently has two client. The single story home is set up as follows: Large open concept living room and dining room that flow into an open kitchen to the right of entry way. Hallway leads to the bedrooms and one client bathroom. Bedroom #1 contains two twin beds and sleeps one client. Bedroom #2 contains two twin beds and sleeps one client. Bedroom #3 is the master bedroom used by facility designee. 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 clients belongings. The bathrooms were clean and in good repair. The water temperature was taken and measured at 114.1 degrees meeting the regulatory requirements. All hazardous items have been properly made inaccessible to areas where clients will have access. Cleansers/chemicals are locked and stored in the hall cabinet in the hallway. ***Continued on 809c*** The First Aid Kit is located in the locked cabinet in the hallway had all required supplies. The facility's smoke detectors in all the bedrooms and hallway were checked and were operable. The carbon monoxide detector located in front living room area was operable. In the kitchen, LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. Sharp knives are inaccessible and stored in a locked cabinet over the oven in the kitchen area. Additional food is kept in fridge in the garage. Per Licensee, there are no guns or weapons in the facility. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights and Emergency Disaster Plan. Clients medications were observed to be inaccessible and stored in locked cabinet in the hallway. The medication logs are kept updated and the dispensing records had no discrepancies. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is no swimming pool/bodies of water located on the premises. Prior to site visit, LPA conducted a facility file review and all required documents were included and administrative records indicate that the facility has paid their current licensing fees. Client and staff files were reviewed during the inspection. Two (2) client and staff files were reviewed. All staff that work at the facility have Department of Justice and Child Abuse Clearance Index clearances. Based on the facility inspection and file reviews on this date, the SFH is being cited for Title Continuing Care Requirements Section 80010(a) Limitations on Capacity and Ambulatory Status and Health and Safety Code (HSC) Section 1522(c)(1) Administration for continuing to have a client that exceeds the licensed age. This is a repeat violation and facility is being assessed Civil Penalties on this date. A copy of this report was reviewed with Ronald Almuete, House Manager and a copy of this report along with a Confidential Names List (LIC 811) dated 04/13/26 was provided to facility designee.


facility_name: CARING HANDS

summary: Facility Evaluation

raw_content:
Narrative:
On July 10, 2025, at 9: AM, Component II of the application process for Caring Hand Small Family Home, took place at the Regional Office in El Segundo in attendance were Licensing Program Analyst (LPA) Lanice White and Applicant Rachael Grate-Tyson. The purpose of this Component II meeting was to review the submitted application and Program Statement, addressing and resolving any outstanding items and concerns. Program Statement: • Program purpose • Target Population • Treatment • Education • Discipline • Transportation • Emergency Intervention Plan • AWOL/Run Away Plan • Telephone Policy • Mail • Recreation (Continued see 809-C) •Recreation • Protection • Religious Services • Personal Hygiene Items • Personal Allowance/Paid Jobs • Medical/Dental • Record and Reporting Applicant will fix the minor corrections: Emergency Intervention Plan - Add local hospital that will be used in event of an emergency Education - Add local schools that will be used Need and Services Plan - Add document must be giving to licensee with 15 days of admission Updated Need and Services plan - Take out part A Medical - Add client with get their medical assessment completed within 30 days of admission Corrections are due July 16, An exit interview was conducted, and a copy of this report was given to the Applicant.

met_with: Rachael Grate-Tyson


summary: Facility Evaluation

raw_content:
Narrative:
On July 30, 2025, 9: AM, Licensing Program Analyst (LPA) Lanice White and Licensing Program Manager (LPM) Kevin Sauk conducted a Component III office meeting at the El Segundo Children's Residential Regional Office with Applicant, Rachael Grate-Tyson. The purpose of this meeting was to discuss the following: Familiarize applicants with Small Family Home and General rules and regulations. Prepare applicants to maintain and operate their facilities. Provide information to avoid potential problem areas. Provide clear description of LPA role in operation of facility. Provide clear description of civil penalties. Answer any questions from the applicant. LPA has scheduled the pre-licensing inspection for 8/13/2025 at 9:00am. Exit interview conducted and a copy of this report was provided to the applicant.

met_with: RACHAEL GRATE-TYSON


summary: Facility Evaluation

raw_content:
Narrative:
On August 13, 2025, at 9: AM, Licensing Program Analyst (LPA) Lanice White arrived at Caring Hands Small Family Home for the purpose of conducting a Pre-Licensing Inspection. LPA was met by Applicant, Rachael Grate-Tyson, who granted access to the home a health and safety assessment was conducted. The residence is set up as follows: This is a single-story 3-bedroom, 1 bathroom home located in a residential area. The home consists of a living room, dining area, kitchen, laundry room, backyard, and a detached garage. Living room: is equipped with a two-piece sofa set, covered fireplace, mounted TV, and towards the hallway is the welcome board under the table is the file cabinet for client and personnel files. Dining area: is equipped with a wooden table and four (4) chairs. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove/oven (all burners were operational at the time of this inspection), a microwave. Sharps and knives are kept in locked kitchen drawers. Cleaning supplies are kept locked in the cabinet underneath the kitchen Laundry room: is located off the kitchen and is equipped with a washer, dryer, and storage shelves. Medication storage (lock box) is located next to the storage area in the laundry Cleaning supplies and laundry detergent are kept locked in the brown closet. (Continued see 809-C page 2) (page 2) Backyard: is equipped with an outdoor kitchen (1) sink, small refrigerator, and barbecue pit and a one (1) TV mounted. Detached garage: LPA observed the garage to be used for extra storage. Bedroom #1: Is used as the licensee grandchildren's room. The room is equipped with a bunk bed with dressers attached at the bottom, a chair, two (2) bean bag chairs, a mounted TV, and has two (2) windows, one (1) cabinet with storage cubes, and closet. Bedroom #2: is occupied by the Applicant. The room is equipped a king-size bed, two (1) dressers, one (1) night stands, working lights, one (1) walk-in closet, ceiling fan, and mounted TV. Bedroom #3: Will be occupied by the clients. The room is equipped with twin beds with gray bedding sets, two (1) dressers, a mounted TV, (2) small drawers, (2) lamp, 2 clothes hampers, and has (1) windows. The room contains a working ceiling light/fan and a closet. Bathroom #1: is located along the hallway past the linen closet. The bathroom is equipped with a toilet, a sink, and a combination shower/tub. The hot water was tested and found to be 125-140 degrees (F). LPA observed the home to have a fully charged two (2) fire extinguishers, a complete First Aid Kit, and a lock box to store refrigerated medications. The homes hallway cabinets store extra linen and hygiene products. The smoke and carbon monoxide detectors were tested and found to be in working order. Extra disinfectants and cleaning solutions are kept locked. The home has a working telephone readily accessible to children in care. LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, and open porches are unobstructed. The front and backyard were clean and free of debris. There are no bodies of water located on the premises. There are no firearms or dangerous weapons in the home. There are no animals on site. (Continued see 809-C page 3) Vehicle: Applicant will transport children in 2020, Volv. LPA observed the vehicle to have working seat belts, horn, and lights. Applicants have current registration through July 2026 and insurance with State Farm Insurance which expires on 01/10/2026. Vehicle 2: Applicant spouse will transport children in 2021, Ram. LPA observed the vehicle to have working seat belts, horn, and lights. Applicant spouse has current registration through November 2025 and insurance with State Farm Insurance which expires on 01/10/ Cameras: There are no cameras inside of the home. 7 cameras on around the exterior of the home. The monitor for the cameras is located in the kitchen. Camera 1.) mounted on the drive way facing the house Camera 2) mounted on the on the car port facing the detached garage Camera 3) mounted on back of the house on the left side Camera 4) mounted on back of the house on the right side Camera 5) mounted on the west back corner of the house Camera 6) mounted on the west front side of the house Camera 7) Front door ring camera Prior to being licensed the following is required: - Water temperature is reading 125-140 degrees. Licensee is having a plumber come out today 8/13/2025 lower the water temperature. - No sign was posted stating the water temperature is over 125 degrees. -Licensee will notify LPA Lanice White on Friday 8/15/2025, regarding hot water corrections. Exit Interview was conducted and a copy of this report will be emailed to the Licensee.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On August 25, 2025, at 9: AM, Licensing Program Analyst (LPA) Lanice White arrived at Caring Hands Small Family Home the purpose of visit is to check the corrections required needed for Pre-Licensing which was held on August 13,2025. LPA was met by Applicant, Rachael Grate-Tyson, who granted access to the home a health and safety assessment was conducted. The residence is set up as follows: This is a single-story 3-bedroom, 1 bathroom home located in a residential area. The home consists of a living room, dining area, kitchen, laundry room, backyard, and a detached garage. Prior to being licensed the following corrections is required: - Water temperature is reading 125-140 degrees. Licensee is having a plumber come out today 8/13/2025 lower the water temperature. - No sign was posted stating the water temperature is over 125 degrees. Corrections made: - LPA Lanice White test the bathroom sink and shower hot water both read 105 degrees. This meets the regulations standards (80088(e)(1) (1) Hot water temperature of 105 degrees F (40.5 degrees C) and not more than 120 degrees. Exit Interview was conducted and a copy of this report will be emailed to the Licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On February 25, 2026, at 9: AM, Licensing Program Analyst (LPA) Lanice White arrived at Caring Hands Small Family Home for the purpose of conducting a Post-Licensing Inspection. LPA was met by Applicant, Rachael Grate-Tyson, who granted access to the home a health and safety assessment was conducted. The residence is set up as follows: This is a single-story 3-bedroom, 1 bathroom home located in a residential area. The home consists of a living room, dining area, kitchen, laundry room, backyard, and a detached garage. Living room: is equipped with a two-piece sofa set, covered fireplace, mounted TV, and towards the hallway is the welcome board under the table is the file cabinet for client and personnel files. Dining area: is equipped with a wooden table and four (4) chairs. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove/oven (all burners were operational at the time of this inspection), a microwave. Sharps and knives are kept in locked kitchen drawers. Cleaning supplies are kept locked in the cabinet underneath the kitchen Laundry room: is located off the kitchen and is equipped with a washer, dryer, and storage shelves. Medication storage (lock box) is located next to the storage area in the laundry Cleaning supplies and laundry detergent are kept locked in the brown closet. (Continued see 809-C page 2) (Page 2) Bedroom #1: Is used as the licensee grandchildren's room. The room is equipped with a bunk bed with dressers attached at the bottom, a chair, two (2) bean bag chairs, a mounted TV, and has two (2) windows, one (1) cabinet with storage cubes, and closet. Bedroom #2: is occupied by the Applicant. The room is equipped a king-size bed, two (1) dressers, one (1) night stands, working lights, one (1) walk-in closet, ceiling fan, and mounted TV. Bedroom #3: Will be occupied by the clients. The room is equipped with twin beds with gray bedding sets, two (1) dressers, a mounted TV, (2) small drawers, (2) lamp, 2 clothes hampers, and has (2) windows. The room contains a working ceiling light/fan and a closet. Bathroom #1: is located along the hallway past the linen closet. The bathroom is equipped with a toilet, a sink, and a combination shower/tub. Backyard: is equipped with an outdoor kitchen (1) sink, small refrigerator, and barbecue pit and a one (1) TV mounted. Detached garage: LPA observed the garage to be used for extra storage. Vehicle: Applicant will transport children in 2020, Volv. LPA observed the vehicle to have working seat belts, horn, and lights. Applicants have current registration through July 10, 2026 and insurance with State Farm Insurance which expires on July,10 2026. Vehicle 2: Applicant spouse will transport children in 2021, Ram. LPA observed the vehicle to have working seat belts, horn, and lights. Applicant spouses have current registration through November 30, 2026 and insurance with State Farm Insurance which expires on May 10, 2026 (Continued see 809-C page 3) (Page 3) The hot water was tested and was found to be 110 degrees (F). Cameras: There are no cameras inside of the home. 7 cameras on around the exterior of the home. The monitor for the cameras is located in the kitchen. Camera 1.) mounted on the drive way facing the house Camera 2) mounted on the on the car port facing the detached garage Camera 3) mounted on back of the house on the left side Camera 4) mounted on back of the house on the right side Camera 5) mounted on the west back corner of the house Camera 6) mounted on the west front side of the house Camera 7) Front door ring camera LPA observed the home to have a fully charged two (2) fire extinguishers, a complete First Aid Kit, and a lock box to store refrigerated medications. The homes hallway cabinets store extra linen and hygiene products. The smoke and carbon monoxide detectors were tested and found to be in working order. Extra disinfectants and cleaning solutions are kept locked. The home has a working telephone readily accessible to children in care. LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, and open porches are unobstructed. The front and backyard were clean and free of debris. There are no bodies of water located on the premises. There are no firearms or dangerous weapons in the home. There are no animals on site. Client Records: LPA reviewed 0 client records, no clients in care. Staff Records: LPA reviewed 2 staff records Staff Interview: LPA conducted a confidential interview with Licensee. Client Interviews: None, no clients in care An exit Interview was conducted, and a copy of this report was left with the Licensee. There were no deficiencies cited at the time of the visit.

met_with: RACHAEL GRATE-TYSON - LICENSEE


facility_name: CARR SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed conflicting statements. Due to being unable to interview all individuals, although multiple attempts were made, confidential interviews could not confirm or deny the allegations. Based on confidential interviews and records reviewed the allegations that licensee is not regularly at the facility, unqualified staff providing care to foster children, licensee did not prevent C1 from running away, licensee is not meeting C2's medical care needs resulting in infection, and licensee is not meeting C2's diapering needs, which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with and provided to Erica Carr. A copy of this report will be placed in the facility file. On June 4, 2024, Community Care Licensing (CCL) received allegations that the licensee is not regularly at the facility, unqualified staff providing care to foster children, licensee did not prevent foster child from running away, licensee is not meeting foster child's medical care needs resulting in infection, and licensee is not meeting foster child's diapering needs. It was reported that the licensee is not at the facility and when phone calls were made to the licensee, they did not respond to the phone calls. Some interviews indicated that S1 has been away from the facility during the day and occasional overnights, while other interviews indicated that when the licensee was not at the facility and phone calls were made to the licensee for support during a crisis, the phone calls were not returned to the staff members in a timely manner. It was reported that unqualified staff are providing care to foster children. Confidential interviews indicated that some staff have previous nursing assistant experience to assist with C2's medical needs, while other interviews indicated staff were not trained to assist with C2's medical needs. It was reported that the licensee did not prevent foster child from running away. Confidential interviews indicated when C1 ran away from the facility, some staff would follow C1 while other interviews indicated that staff were unable to follow C1 because they were by themselves and C2 was unable to be left at the facility on their own. It was also reported that the licensee told staff to hide C1's tennis shoes when they ran away, while other interviews indicated that C1 took off their shoes before they ran away. It was reported that C2's stomach area around their device was infected. Some interviews indicated that C2 had an infection around the device area and was given medication, while other interviews could not recall the details or length of the infection. Lastly, it was reported that the licensee is not meeting foster child's diapering needs. Some interviews indicated that C2 had a rash under their diaper and observed C2 to be in soiled bedding and it was unknown how long C2 had remained in the soiled bedding. Other interviews indicated that C2 had a rash under their diaper and cream was put on the rash and the rash cleared up, however, it was unknown how long C2 had the rash. ***

Investigation Findings:
13On December 16, 2024, at 3:25 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Erica Carr, Licensee, to discuss the investigative finding for the allegations noted above. LPA Adaleyci Caballero conducted an inspection of the facility on June 12, 2024, at 12:20 pm, and no deficiencies were observed. LPA Linley interviewed five staff (S1-4, S8), one County Social Worker (CSW1), one client declined to interview (C1), and one client was unable to verbally communicate with LPA (C2). In addition, LPA was unable to interview three staff (S5-7) and LPA was unable to interview one County Social Worker (CSW2), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Report, Law Enforcement Report, Special Incident Reports, Client Roster, C Needs and Services Plan, C Needs and Services Plan, C Placement Agreement, C Placement Agreement, Physician Visits Documentation, Training Documents, S Employee discharge notice, Supplies Receipts, and text messages from S1 to staff members. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: CARR SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 12/16/2024

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

report_type: Complaint Investigation

met_with: Erica Carr

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On September 6, 2023 at 11: AM, Licensing Program Analyst (LPA) Linda Haynes began a pre-licensing inspection for Carr Small Family Home license. LPA met with applicant Erica Carr who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there is no client in the home. The applicant is applying to serve 3 client ages 3 to 17. The home is a one story building with five bedrooms and two bathrooms which are set up as follows: · Bedroom # 1 (Master) has one bed sleeps the applicant and has a master bathroom. · Bedroom # 2 (bio children) two twin beds, it sleeps two bio children. · Bedroom # 3 (Client's) was vacant has one full bed, it will sleep one client. · Bedroom # 4 (client's) was vacant has one full bed, it will sleep one client. · Bedroom # 5 (client's) was vacant has one full bed and will sleep one client · A great room/living room, sitting room, kitchen, dining area, two bathrooms, an attached two car garage, and the backyard. The Client's bedroom was arranged so that no more than one client will be in 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. The five smoke detectors were checked, and they were working properly. The Carbon Monoxide detector is located in the hallway and was working properly. There is a dedicated phone line. The home's central air conditioning module was located in the back yard. The home's hot water heater was located inside the garage. The appliances were in working order. . The client's files will be locked in a cabinet in the kitchen. There was adequate food storage space. There was a two day supply 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 had a tight-fitting lid. The sharp knives are in a locked kitchen cabinet. The medications are located in a locked cabinet in the kitchen. The hot water in bathroom one (master) measured to be 120 degrees Fahrenheit and in bathroom two 113.5 degrees Fahrenheit. The home's First Aid kit was accessible and is located in the closet in the hallway. Two fire extinguishers are present in the home one is located on the wall by the kitchen the second is located on the wall in the hallway. They were observed to be properly charged and inspected by the fire department. There is no firearm in the home as stated by the applicant. There is no pool or other body of water. The backyard where clients will have access to play was fenced. There are no deficiencies at this time. The request for a license will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report and appeal rights was provided to Applicant Erica Carr.


summary: Facility Evaluation

raw_content:
Narrative:
On September 6, 2023 at 12: PM Licensing Program Analyst (LPA) Linda Haynes met with Applicant Erica Carr for the Component III portion of the Licensing procedure. Duty Email CCLPACCR@dss.ca.gov


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024 at 10: AM, Licensing Program Analyst (LPA) Rachel Vanegas arrived at CARR Small Family Home for the purpose of conducting a post-licensing annual inspection. LPA met with the Licensee Erica Carr who led a tour of the home. The facility was toured inside and outside with the licensee. The single-story home consists of five bedrooms and two bathrooms. There is a sitting room, a living room, a kitchen, a dining room area, an attached garage that remains locked and inaccessible to children in care, a laundry room that has locked cabinets where laundry detergent and chemicals are properly stored, and a backyard. Bedroom #1 contains a full bed and is vacant, it can sleep one ambulatory client. There is adequate storage space for personal belongings in drawers and the closet. Bedroom #2 contains a full bed and is vacant, it can sleep one ambulatory client. There is adequate storage space for personal belongings in drawers and the closet. Bedroom #3 contains a full bed and sleeps one non ambulatory client. There is adequate storage and space for personal belongings in drawers and the closet. There is a second exit door in the bedroom that allows client wheelchair access into and out of the bedroom on the side of the home. Bedroom #4 contains two twin beds and sleeps the licensees biological children. Bedroom #5 is the master bedroom and sleeps the licensee and spouse. Bedrooms were arranged so that no more than two children share a room and will have 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. Spare linens are stored in each of the bedroom closets. There are accessible board games and toys that were observed to be safe, clean, and age appropriate for the children to be cared for. The facility has a fireplace in the living room and was observed to be properly screened. **Continued on LIC 809-C** LPA tested the hot water temperature in the kitchen sink and it measured 113.1 degrees F. LPA observed an adequate supply of food; two days of perishable foods in the refrigerator and seven days of non-perishable foods in the pantry. Chemicals and cleaning supplies, along with knives/sharps, are stored in a locked cabinet under the kitchen sink. There is a storage closet in the hallway that remains locked and inaccessible to children in care that contains additional cleaning supplies and chemicals. The facility first aid kit is centrally stored in the hallway and contains all of the necessary items. There are two fire extinguishers located in the facility, one near the hallway storage closet and one near the laundry room that are properly charged and inspected. There are no firearms on the property as reported by the licensee and there are no pools or other bodies of water at this time. Inside the facility there were operable smoke detectors and carbon monoxide detectors located in each bedroom and common areas. Telephone service and appliances were in working order. LPA conducted one client file review and observed the needed documents in the file including, medical authorization forms, needs and services plans, placement agreements, etc. Tuberculosis screening/testing results were not in Client 1's (C1) file. LPA conducted seven staff file reviews for Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), Staff 6 (S6), and Staff 7 (S7). Seven out of seven staff files contained needed documents including CPR/First Aid certificates, Drivers License, Application for Employment, Job Duties, Health Screening, etc. Based on observation and records review, the facility is issued one technical violation for California Code of Regulations (CCR) section 80069(c)(1) for missing documentation of tuberculosis screening/testing for Client 1. An exit interview was conducted and a copy of this report, LIC 9102, LIC 811, and appeal rights were reviewed and provided to licensee - Erica Carr.

met_with: Licensee - Erica Carr


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024, Licensing Program Analyst (LPA) Rachel Vanegas conducted a required annual inspection with the post licensing inspection. Due to technical difficulties, completion of the required annual inspection was not recorded. The purpose of this report is to record the annual inspection that was completed. A copy of this report and appeal rights were reviewed and provided to the Licensee, Erica Carr. This report was sent to licensee electronically for signatures and original signatures are in the facility file.


facility_name: CARROLL SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) David Hiett completed a Post-licensing inspection for a Small Family Home and met with the licensee, Alicia Carroll. The physical inspection was completed on 9/24/2021. The entire home was toured, inside and out. The home currently has two clients: one minor and one non-minor dependent (NMD) The facility/home interior and exterior inspection description: The home has two floors with outside entry via front and rear first floor doorways plus garage entry. Carbon monoxide and fire detectors are located through the facility. The first level consists of a garage, 3 bedrooms, 2 bathrooms, kitchen, laundry room, front room, dining room, and living room. The second level consists of 1 bathroom and 1 bedroom. All bedrooms are in good repair with adequate storage. The facility is aware that water temperature must be maintained within the regulated range 105-120F. There are no other structures on the premises. LPA Hiett determined that the facility meets Title 22 regulations for the operations of a Small Family Home. An exit interview was conducted and a copy of this report was provided to Licensee Alicia Carroll.

met_with: Alicia Carroll


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Licensee Alicia Carroll and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is a hot tub on the property that is locked. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the home. There were operable fire extinguishers posted throughout the home. There are complete first-aid kits located in the home. The facility is aware the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The home is licensed to serve three adolescents. There are currently one youth in placement. The home operates within the capacity and limitations of the license. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Licensee Alicia Carroll and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is a hot tub on the property that is locked. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the home. There were operable fire extinguishers posted throughout the home. There are complete first-aid kits located in the home. The facility is aware the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The home is licensed to serve three adolescents. There are currently one youth in placement. The youth was not present during inspection. The home operates within the capacity and limitations of the license. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

narrative: Licensing Program Analyst (LPA) Cheyenne McCambridge conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA McCambridge met with Licensee Alicia Carroll and toured the facility, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is a hot tub on the property that is locked. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. Sharps, medications, toxins, and cleaning solutions are locked. There are carbon monoxide and smoke detectors throughout the home. There were operable fire extinguishers posted throughout the home. There are complete first-aid kits located in the home. The facility is aware the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. Staff and client files were reviewed and are current and complete with required documents. The home is licensed to serve three adolescents. There are currently one youth in placement. The youth was not present during inspection. The home operates within the capacity and limitations of the license. No Title 22 deficiencies cited this date. Exit interview conducted a copy of the report was left at the facility.


summary: Facility Evaluation

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Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Bertoli met with Licensee/Administrator Alicia Carroll at 10:15am and toured the home, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is a hot tub on the property that is locked. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There are carbon monoxide and smoke detectors throughout the home. There were operable fire extinguishers posted throughout the home. There are complete first-aid kits located in the home. The licensee is aware the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. LPA reviewed Staff and Client files and they are current and complete with required documents. LPA is conducting one staff interview and one client interview. The home has a licensed capacity of three. There is currently one Non-Minor Dependent in placement. They were not present during inspection. The home operates within the capacity and limitations of the license. No Title 22 deficiencies were cited on this date. An Exit interview conducted a copy of the report was given to the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On the above date, Licensing Program Analyst (LPA) Brian Bertoli conducted an unannounced inspection to the facility for the purpose of conducting an Annual/Required inspection. LPA Bertoli met with Licensee/Administrator Alicia Carroll at 10:30am and toured the home, inside and out. The facility is clean, safe, sanitary, and in good repair. Front and backyard are safe and free from hazards. All passageways are unobstructed. There is a hot tub on the property that is locked. All bedrooms have adequate closet and drawer space. The home is maintained at a comfortable temperature. There are carbon monoxide and smoke detectors throughout the home. There were operable fire extinguishers in the home. There is an accessible first-aid kit in the home. The licensee is aware the hot water temperature must be maintained within the regulation range of 105 - 120 degrees. There are no firearms on the property. Required documents are posted. LPA reviewed Staff and Client files and they are current and complete with required documents. LPA conducted one staff interview and will conduct one client interview at a later date as client was not present. The home has a licensed capacity of three. There is currently one Non-Minor Dependent in placement. They were not present during inspection. The home operates within the capacity and limitations of the license. No Title 22 deficiencies were cited on this date. An Exit interview conducted a copy of the report was given to the licensee.


facility_name: CATHERINE SMALL FAMILY HOME

summary: Complaint Investigation - Substantiated

raw_content:
Narrative:
It was alleged that the Licensee called C1 "fat" and accused them of sleeping around and making bad choices. The allegation reads, "Resource Parent spoke inappropriately to child", which is an error. It should read, "Licensee spoke inappropriately to the child", as this is a Small Family Home, not a Resource Family Home. Confidential interviews revealed that C1 became angry after a visit to the pet store, where they were told they could not get an animal. While LPA received conflicting information on who called who fat first, the Licensee did admit to saying to C1, "That's not nice to call me that, because you're not skinny either." The CSW corroborated that the Licensee had admitted to them, that they had said the same thing. As for the part of the allegation regarding what was said about C1 sleeping around, LPA received conflicting information. The Youth stated the Licensee called them a "hoe", while the Licensee stated the Youth called them a "hoe". The Licensee stated they do not call the Youth a "hoe", but that they do remind them that bad things happen when they make bad choices. LPA reviewed a self-reported incident report dated 9/8/25, where the Licensee states, "C1 never seems to understand what forms of dangers can befall them out there despite numerous warnings". Given that the Youth is developmentally disabled, these types of statements don't appear to be a trauma-informed way to speak to, or about, C1. This Department has investigated the allegation that the Licensee spoke inappropriately to child. Based on interviews, we have found that the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Type B citation is being given for Title 22, Section 83072(d)(24) PERSONAL RIGHTS, on the attached LIC 9099-D page. An exit interview was conducted with Licensee Catherine Mwangi. A copy of this report, and appeal rights were given.

Investigation Findings:
13On Tuesday, October 21st, 2025, at 2PM, Licensing Program Analyst (LPA) Brittany Crass, made an Unannounced complaint investigation inspection at the Small Family Home (SFH), to deliver findings for the allegation 'Licensee spoke inappropriately to child', LPA met with Licensee Catherine Mwangi, who assisted with the inspection. LPA Silvas conducted the initial, 10-day complaint investigation at the Facility on 8/14/25. Between 8/14/25 and 10/15/25, LPA Silvas interviewed the Alternative Caregiver (A1) and attempted to interview the Youth (C1). LPA Crass interviewed the Licensee (L1), County Social Worker (CSW), County Social Worker Supervisor (CSWS), and the Youth (C1). The Youth was placed in the Small Family Home (SFH) on 10/10/2024. (Continued on LIC 9099-C). SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Jensen-Hill LICENSING EVALUATOR NAME: Brittany Crass LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CATHERINE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/21/2025

announced_status: Unannounced

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On May 21, 2024, at 1: P.M. Licensing Program Analyst (LPA) Mary Shelton made an announced pre-licensing inspection at the home and met with Catherine Mwangi, Catherine Small Family home the Licensee, who assisted LPA with the inspection. LPA inspected the facility's interior and exterior building and grounds. The facility is comprised of three bedrooms, two upstairs bedrooms and one downstairs bedroom and two bathrooms. The licensee can provide bedroom accommodations to meet the requirements related to the license capacity and client special health needs. At this time, there are no clients in care, however pending placement of a client into the facility, the licensee is prepared to provide care and has the following maintained at the facility: secure location and process for locking and maintaining medication in a centrally stored location; maintaining a separate client records for each client to ensure the confidentiality of the records maintained and a locked and secure location for cash resources to be entrusted to Licensee The facility has no swimming pool or bodies of water on the property, and no use of security recording cameras in private areas. The facility was observed to be clean, sanitary, and in good repair; and no deficiencies were observed. There are no firearms at the home. There is a fire pull alarm located on the second floor of the home. There is a fire extinguisher located in the kitchen. The home has telephone services accessible to clients in care. continued 809-C. LPA reviewed the Licensee's personnel record, and documentation pertaining to criminal record clearance, mandated reporter statement, and current (LVN) Nursing License and CPR and First Aid Certification. The Licensee is still working on changes needed to complete the Program Statement and will let LPA know when they are completed. LPA conducted an interview with the licensee and provided the following information and resources pertaining to: Fingerprint clearances/Guardian, LPA inspections, citation/advisory note process, civil penalty types, CARE tools, CDSS forms and how to find them, exceptions and waivers, PINs, reporting requirements, inspection authority, POCs, extensions on POC due dates, personal rights, updates to the Program Statement, and Small Family Home specific regulations; Technical Support Program, and the following websites:https://www.cdss.ca.gov/inforesources/childrens-residential/resources-for-provider, https://cdss.ca.gov/inforesources/community-care-licensing/subscribe, https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian and https://www.cdss.ca.gov/inforesources/forms-brochures/forms-alphabetic-list/i-l On 5/21/2024, the facility was advised that the home is not ready to be licensed until corrections are made to the Program Statement. The Licensee will keep in communication about placement of clients into the facility and will submit required documentation to the Department as required, including Incident Reports and LIC 500, Employee Rosters after the license is issued. An exit interview was conducted with Catherine Mwangi, and a copy of this report was provided to them.

met_with: Catherine Mwangi, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On October 18,2024, at 8: AM Licensing Program Analyst (LPA) Mary Shelton made an announced post-licensing inspection at the home and met with Catherine Mwangi, Catherine Small Family home the Licensee, who assisted LPA with the inspection. LPA inspected the facility's interior and exterior building and grounds. The facility is comprised of three bedrooms, two upstairs bedrooms and one downstairs bedroom and two bathrooms. The licensee can provide bedroom accommodations to meet the requirements related to the license capacity and client special health needs. There was one client placed in the home on 10/10/2024. The licensee has a secured location and process for locking and maintaining medication in a centrally stored location; maintaining a separate area for client records to ensure the confidentiality of the records maintained and a locked and secure location for cash resources to be entrusted to Licensee The facility has no swimming pool or bodies of water on the property, and no use of security recording cameras in private areas. The facility was observed to be clean, sanitary, and in good repair; and no deficiencies were observed. There are no firearms at the home. There is a fire pull alarm located on the second floor of the home. There is a fire extinguisher located in the kitchen. The home has telephone services accessible to clients in care. LPA Shelton asked if there were any questions or additional information needed. LPA Shelton requested a copy of the updated LIC 500. No fees were due at the time of the Post Licensing inspection. An exit interview was conducted with Catherine Mwangi, and a copy of this report was provided.


summary: Facility Evaluation

raw_content:
Narrative:
On 06/24/2025, at 01:10PM, Licensing Program Analyst, (LPA) Connie Goldie made an unannounced visit to conduct an Annual/Required inspection. LPA was greeted at the door by Administrator, Catherine Mwangi, who assisted LPA with the inspection. Administrator stated the client is present at the home. At 01: PM, LPA conducted a physical plant tour. At the front door entry, LPA observed a spacious living room area and formal dining room with adequate seating for client, staff and guests. The license and menu are posted in the kitchen area. LPA observed two fire extinguishers in the home that were in compliance. LPA observed kitchen/nook area to have adequate perishable and non-perishable food available as required. Water temperature measured at 115.1 degrees Fahrenheit in kitchen. The family room is an additional space for activities available to youth. A youth bedroom was observed to have adequate storage, linen as required and decor chosen by youth. A bathroom is adjacent to this bedroom and soap, towels and hygiene are available. LPA tested the carbon monoxide/ fire detectors which were in operative order. Four bedrooms were observed upstairs, two of which are for clients, with good lighting available. LPA observed a linen closet in the hallway upstairs. The home was a comfortable 71 degrees. The garage area has a washer and dryer in working order and an additional refrigerator. There are two bathrooms, which have trash cans with lids, and the water temperatures recorded at 109.1 degrees, within compliant range of 105-120 degrees. Soap and paper products were readily available. First aid kit is complete. Medications and sharps were secured as required. Cash resources are secured in the master bedroom. The back yard contained a locked shed with assorted items. A ping pong table, seating area and barbecue were available. LPA observed the crawl space area adjacent to the ramp on the left side of house to have a 1 foot by 1 foot circular hole which requires repair. Continued on LIC809C All Care tool domains completed during today's inspection which include: Physical Plant, Operations, Staff records, Client Records and Special Health Care Needs. LPA Goldie interviewed one staff member and one client. Five Title 22 deficiencies were cited during inspection. See LIC809D attached. Three technical violations were issued. These are not deficiencies. The annual inspection is complete. Exit interview conducted at 05: PM and reports along with appeal rights were discussed and provided to facility.

met_with: Catherine Mwangi, Administrator


raw_content:
Narrative:
The allegation that client suffered an injury is related to this same verbal argument where client alleges that staff grabbed client by the arm, causing an injury. Confidential interviews with WRAP workers and client's Clinician revealed that no injury was reported, despite client being a good advocate for themselves. In addition, it was observed that client may have planned to be away from the facility for an extended period prior to the incident. This agency has investigated the complaint alleging an adult in the home caused harm to the client and staff kicked the youth out of the home. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted with Licensee and a copy of this report and appeal rights were provided to her.

Investigation Findings:
13On 3/2/2026 at 4: PM, Licensing Program Analyst (LPA) Alyssa Burgess made an unannounced complaint investigation inspection at the facility and met with Licensee, Catherine Mwangi, who assisted with the inspection. LPA investigated this complaint by conducting confidential interviews with one client, the Licensee, one staff, and three WRAParound (WRAP) workers between 10/8/2025 and 2/23/2026. LPA made multiple attempts to speak with the Reporting Party and County Social Worker but was unsuccessful. The allegation related to staff kicking the youth out of the home is based on an incident that happened between client and staff where client became escalated in the home and caused property damage. During this incident, staff and client engaged in a verbal argument about the home and property not belonging to the client and that client should not be acting this way. Client told staff to kick them out because of this verbal disagreement and staff offered to assist client in packing their belongings. The client was gone for three days on an unauthorized absence from the home. Confidential interviews denied any physical interaction with client and denied that client was kicked out of the home. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tamara Jensen-Hill LICENSING EVALUATOR NAME: Alyssa M Burgess LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: CATHERINE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 03/02/2026

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

met_with: Catherine Mwangi


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Alyssa Burgess and Licensing Program Manager (LPM) Tamara Hill met with Licensee Catherine Mwangi in the office to discuss the Licensee's Program Description. LPM discussed updating the Program Description in the following areas: population to be served, ambulatory vs non-ambulatory placements, mandated reporting requirements, transportation descriptions, house rules, and runaway plans. LPM discussed updating appropriate emergency interventions other than Law Enforcement, appropriate complaint/grievance policy, tracking allowance/cash resources, the process for accepting emergency placements, behaviors of clients accepted being aligned with the program design. LPM also touched on Needs and Services Plans updates, the current 14-Day notice practices needing to be corrected, proper discharge methods/rules, correcting language used such as "Administrator" "Foster Home". LPM reminded Licensee about the updated personal rights clients have, and advised Licensee to update the description in their Program Design. LPM also discussed with Licensee the need to obtain a fire clearance for non-ambulatory clients, and updating their facility sketch appropriately. LPM provided Licensee with a detailed letter describing what needs to be updated. These revisions and LIC503 will be submitted to LPA by 5/1/2026. An updated sketch and LIC200 will be submitted to CCL by 4/3/2026. An exit interview was conducted with Licensee and a copy of this report was provided to Licensee.


facility_name: CATHY'S EMBRACE

summary: Facility Evaluation

raw_content:
Narrative:
On July 31, 2025, 1: PM, a Component II Office Visit was held to discuss the application received for Cathy's Embrace Small Family Home located at South Clymar Ave., Compton, CA Attending Component II were the following individuals: Kenisha Brown, Applicant, Aimee Moratalla, Licensing Program Analyst (LPA), and Enrique Hernandez, Licensing Program Manager (LPM). The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: 1. Application Form (LIC 200) 2. Applicant Information (LIC 215) Designation of Facility Responsibility (LIC 308) 3. Affidavit Regarding Client/resident Cash Resources (LIC 400) 4. Surety Bond (LIC 402) 5. Budget Information (LIC 420) 6. Personnel Report (LIC 500) 7. Health Screening (LIC 503) 8. Criminal Record Clearance (LIC 508D) 9. Emergency Disaster Plan (LIC C) 10. Fire Inspection 11. B Documents - Program Statement / Plan of Operation (see continuation on 809) The Applicant was advised of the following revisions and/or corrections needed to the application and/or Program Statement. It was agreed that the revisions are due on August 18, 2025. Revisions and other LIC (500, 503, 508D, 610C) forms will be emailed to Aimee.Moratalla@dss.ca.gov. It was agreement was reached that LPA Moratalla will schedule a pre-licensing visit once the fire clearance is received by our department and Applicant surrendered her Childcare license (197494068).

met_with: Kenisha Edwards, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On December 29, 2025, at 11: AM, Licensing Program Analysts (LPA) Aimee Moratalla arrived at Cathy's Embrace for the purpose of conducting a Pre-Licensing Inspection. LPA was met by Applicant, Kenisha Edwards. The facility is requesting to be licensed as a Small Family Home to provide care and supervision to three (3) children, ages 2 -10 years old, ambulatory only. Currently the census is zero (0). The home is set up as follows: This is a one-story home in a residential area. The home consists of driveway, playroom, living room, kitchen, four (4) bedrooms, and 21/2 bathrooms. Vehicle: The Applicant will use a silver Lexus to transport clients. The vehicle is in good condition. The current car registration will expire on 06/02/2026 and car insurance will expire on 03/17/2026. The Applicant also owns a white Rivian. The cars were parked on the driveway. Playroom: is equipped with child size table and chairs, children's books, toys, shelves, and school supplies in a closet with lock. There is a ½ bathroom and a washer and dryer in a closet with lock. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove (all burners were operational at the time of the inspection), and a microwave. Sharp knives are kept locked in a cabinet in the kitchen and made inaccessible to children in care. LPA observed a covered trash can, a pantry, ample plates, cups, and eating utensils. LPA observed ample nonperishable food items in the pantry. The Applicant will ensure that three (3) nutritious meals and snacks will be provided to the clients. Page 1 of Living room: is equipped with two couches, a big mirror, and a square dining table that sits six (6). Bedroom #1 and Bedroom #2: will be occupied by children in care and are equipped with bunk beds, dressers, and closets. Light fixtures were in good condition. Bedroom #3: is occupied by the Applicant and is equipped with a queen bed, a night table, and closet. Bathroom#1 is located inside the master's bedroom. Bathroom #2: is located on the hallway in between the clients' bedrooms. The bathroom contains a toilet, sink, and a tub/shower combination. All bathrooms were checked and found to be in working order. Bedroom#4: is used as a walk-in closet of the Applicant. LPAs observed two (2) fire extinguishers. Extra linens are stored in hallway cabinets. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. Disinfectants and cleaning solutions are kept in a locked cabinet under the kitchen ink. Medications will be kept in a locked cabinet in the Applicant's bedroom. LPA observed the home to be clean, safe, and sanitary. Passageways and open porches are unobstructed. LPA's informed Applicant, Kenisha Edwards, that the following needs to be fixed prior to licensure: 1. Posting/s: Personal Rights, Menu, LIC 610c, and LetUsKnow. 2. Create a Guardian account. Page 2 of LPA reminded Licensee to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. An exit interview was conducted. A copy of this report will be emailed to the Applicant, Kenisha Edwards. Page 3 of 3

met_with: Applicant, Kenisha Edwards


facility_name: CECY'S HOME

summary: Facility Evaluation

raw_content:
Narrative:
An annual required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder on 6/17/2021. Criminal record clearances were reviewed, and the facility is in compliance. Community Care Licensing file, unusual incident reports, facility roster, facility profile and complaint history were reviewed prior to visit to the home. The licensing fees are current. The Small Family Home has a capacity of 5 and currently has 1 youth. There are 13 staff members associated to the license and 2 currently working at the Small Family Home. LPA Kinder reviewed 2 staff files and all which were reviewed were complete and up to date. Staff file reviewed has required training hours, education, and fingerprint clearances. 1 child file was reviewed. Immunization records were current. Medical consent forms were signed by authorized representative and current. Additionally, the child's file had a record of personal property and personal and incidental funds.. The facility was inspected jointly with Cecelia Morales, Administrator of the Small Family Home and is in compliance. LPA interviewed one youth and inspected the youth's room. The youth had his own bed in good repair with linen. There is a hall closet with additional linen if needed for the bedroom and for the bathroom. Client and staff files are in a locked cabinet, in a locked room. The passageways from the front to the back of the home are unobstructed. There is a separate structure in the backyard. LPA observed enough perishable/non-perishable food for 1 youth for 4 days/3 weeks. Smoke detectors are in working order. There is a carbon monoxide monitor in the entry and 1 fully charged fire extinguisher with current tags. There are no title 22 deficiencies cited today during inspection. Exit interview conducted and discussed with Cecelia Morales, Administrator and a copy of the annual inspection report was provided.

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2023, at 11: AM, Licensing Program Analyst (LPA) Shalisa Stiger conducted an unannounced visit for the purpose of an Annual Inspection. Criminal record clearances were reviewed, and the facility is in compliance. Community Care Licensing file, unusual incident reports, facility roster, facility profile and complaint history were reviewed prior to visit to the home. The licensing fees are current. The Small Family Home has a capacity of five (5) clients and currently has zero (0) clients and zero (0) staff at this time. Administrator has not had clients since 2021 and is unsure if will resume having clients. The facility was inspected jointly with Cecelia Morales, Administrator of the Small Family Home and is in compliance. There is a hall closet with additional linen if needed for the bedroom and for the bathroom. The passageways from the front to the back of the home are unobstructed. Three (3) bedrooms clean and ready for clients with closet space for clothing. There is a separate structure in the backyard for client services. Smoke detectors are in working order. There is a carbon monoxide monitor in the entry and one ( 1) fully charged fire extinguisher with current tags. There are no title 22 deficiencies cited today during inspection. Exit interview conducted and discussed with Cecelia Morales, Administrator and a copy of the annual inspection report will be emailed to Administrator.

met_with: Cecelia Morales, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 1st 2024, at approximately 11: A.M. Licensing Program Analysts (LPAs) Sara Luman-Gonzalez and Sarina Buchannan arrived at the above facility for the purposes of conducting an inspection. During the inspection LPA met with Cecilia Morales, Licensee who assisted with the inspection. Administrator was not home at the time and was at the Emergency Room with someone from a different Facility. They informed LPA that they currently have no clients in the home and no staff. LPA's conducted a walk-through of the facility inside and out. LPA observed 5 bedrooms, 4 bathrooms in the facility both upstairs and downstairs. LPA's inspected and/or reviewed the following: Physical Plant LPAs observed the license, Emergency/Disaster Preparedness, Personal Rights, and the necessary phone numbers posted in the hallway area by the laundry room. Refrigerator temperature was tested 38 degrees, Freezer was observed at -.9 degrees and the hot water was tested at 110 degrees F. There were minimum 3 days of perishable foods and over 7 days worth of non-perishable foods. There is no menu posted due to no clients being present in the home. Smoke Detectors and Carbon Monoxide Detectors were observed to be in working order. A working phone was observed in the downstairs office area on the desk. Common room area is observed to have adequate furniture, in good repair, no holes or stains. Dining area has more than enough seating for any clients up to the limit stated on the license; it was observed to be in good repair, no damage. Medication is locked in the upstairs bathroom cabinet. (Page 1 of 3) Office was unlocked and in use by Licensee during LPA's inspection. Bathrooms, both upstairs and downstairs, were observed to have all fixtures in good repair and clean. Soap was available as well as towels. Linens are in the hall way closet. Bedrooms, both upstairs and downstairs, were observed to be in good repair. LPA observed that it has been a time since a client was placed at the facility. Laundry facilities were located downstairs, no assigned dates as there are no clients in care currently. LPA did not observe any vermin or pests at the facility. First Aid was observed in the bedroom and the Fire extinguisher was observed in the entryway. Motor Vehicle, Red Sienna, was observed to be properly maintained. The outdoor facility was observed to be a studio for visits. Operations There were no clients observed in the home and both the Licensee and Facility Administrator informed LPA's that they have no current placement. Complaint Procedures were posted in the hallway near the laundry facilities. Disaster Preparedness Disaster & Mass Casualty Plan was last updated in 2018, and is available in the hallway. Administrator informed that they are possibly going inactive and or surrendering their license at this Facility. Staffing/Volunteers Since there have not been any placement in the facility since 2021 there have not been updates in paperwork. Administrator stated that they are most likely going to inactivate their license at this facility. Client Records No client records were reviewed as there have been no clients in care since 2021. (Page 2 of 3) The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees · Emergency Disaster Plan (per H&S Code 1565) · Annual Emergency Intervention Log · Personnel Roster, Facility Sketch, LIC 500, LIC 610C and LIC An exit interview was conducted with Cecilia Morales, Facility Administrator and a copy of this report was left with the facility.

met_with: Cecilia Morales, Licensee


summary: Facility Evaluation

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Narrative:
On July 28, 2025, at approximately 10: AM Licensing Program Analyst (LPA) Orlando Areizaga made an announced visit with the purpose of conducting a closure inspection to the above facility. LPA met with Administrator, Cecila Morales and conducted a walk through of the interior and exterior of the facility. LPA observed the following: 3 living rooms, 1 kitchens, 4 bedrooms, 4 bathrooms, 2 office, 1 on-suite, and outdoor area. The home was furnished with Administrator's personal furniture. Closets were empty The garage was turned into an on suite with a kitchen, a storage room filled with tools, and a full bathroom. There were no signs of clients living at the facility One copy of the license were retrieved This facility will be closed effective July 28, 2025. An exit interview was conducted with Administrator, Cecila Morales and a copy of this report will be sent via email.

visit_type: Case Management

met_with: Administrator, Cecila Morales


facility_name: CERETHER HOME CARE

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

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

met_with: Alesha Briggs, Administrator


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager (LPM) Lakescia Smith conducted the Component II - Face to Face Interview with Alesha Briggs, Applicant. Application and program statement was reviewed and discussed with Mrs. Briggs. The applicant will oversee a small family home, Cerether Home Care. The following documents were received and verified by LPA and LPM: 1. LPA and LPM verified the orientation certificate for Component I. 2. LPA and LPM made a copy of Licensee's ID for the records. 3. LPA and LPM verified criminal record clearance for applicant. 4. LPA and LPM reviewed application which was missing specific ages and capacity for Small Family Home. 5. LPA and LPM reviewed the Program Design which was out of compliance with Small Family Home Regulations and General Licensing Requirements. Applicant will refer to application instructions to revise and adhere to Section B Documents: B7 - B12, B16, and B17. LPA and LPM reviewed application and Program Design and returned to applicant for revision. Applicant will submit updated and revised application, Program Design, and LIC 200 by 11/01/2024. LPA and LPM discussed with applicant which placement agency applicant would be working with to receive clients from. LPA and LPM also discussed Licensing Duties and Responsibilities, specifically Small Family Home Regulations, section 83064. LPA and LPM scheduled a Pre-Licensing visit for Cerether Home Care for 10/31/2024 at 2PM. Exit interview completed.

met_with: Alesha Briggs


summary: Facility Evaluation

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Narrative:
On October 31, 2024, Licensing Program Analyst (LPA) Reagan Cohen and Licensing Program Manager Lakescia Smith arrived at the above facility, for the purpose of conducting a Pre- licensing inspection for a Small Family Home License. LPA met with applicant, Alesha Briggs who granted access into the home. The applicant and LPA/LPM toured the facility both inside and out. Currently residing in the home is applicant and two biological children. Applicant is requesting to be licensed for 3 clients ages 6-17 ambulatory only. The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room/Dinning Room: There is adequate furniture which is in good condition. The area is is equipped with a sofa, a reclining chair, and a television. Home entrance is protected by a screen door, followed by wooden door. Windows operational with vertical blind and screens are operational. Dinning area contains a four seated dining set with four straight back chairs. There is a wall heater next to the dinning table. Smoke alarms located in every bedroom were tested during the inspection and they were all in working condition. There is a working telephone in the living room. There is a second living room behind the kitchen. It has adequate seating with a sofa and chairs. There is a desk and chair, a TV, board games, puzzles, and other activities. There second wall heater in the second living room. Posted in the living room is the disaster plan, facility sketch, foster care ombudsmen poster, and personal rights statement. Kitchen: Is equipped with an operable 4 burner stove, refrigerator/freezer, small kitchen counter appliances, locked cabinet for sharps and client medication to be inaccessible to clients in care. Below the sink is a locked cabinet for cleaning solutions. In the kitchen the first aid kit was checked and is complete with scissors, tweezers, thermometer, and gauzes, antiseptic. Fire Extinguisher was fully charged and available in the kitchen. Bedroom #1: is for the licensee and is located off of the dinning room and is equipped with queen bed, and a closet. Bedroom #2: is for the licensee's biological child and is located off of the dining room opposite bedroom #1 and is equipped with 1 twin bed and a bassinet, clean bedding, adequate closet space, and has one working window with a screen. Bedroom #3: is vacant, and is located after the kitchen off of the second living room, equipped with 1 twin sized bed clean bedding, adequate closet and drawer space. Has a working window with a screen and bars with a working release switch. Bedroom #4: is vacant, and is located after the kitchen off of the second living room, equipped with 2 twin sized beds clean bedding, adequate closet and drawer space. Has a working window with a screen and bars with a working release switch. All rooms are clean, safe, and sanitary. Bathroom #1: is located off of the dinning room adjacent to bedroom #1 and #2. It is clear of all cleaning solutions with a working toilet, sink, and shower. Bathroom #1: is located off of the second living room. It is clear of all cleaning solutions with a working toilet, sink, and shower. Outdoor activity space (back yard) free of obstructions. The garage is locked and being used for storage. The home will utilize Tesla to transport clients in care. Current automobile insurance is with StateFarm Insurance Company. Insurance and registration is current. Exit Interview was conducted and a copy of this report was given to the applicant. LPA will follow up with applicant for Component III orientation.


summary: Facility Evaluation

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Narrative:
On 3/6/25 at 9: AM, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility, for the purpose of conducting a Post- licensing inspection. LPA met with applicant, Alesha Briggs who granted access into the home. The Licensee and LPA toured the facility both inside and out. Currently residing in the home is Licensee and two biological children. There are currently no clients in placement and no working staff. Licensee observed license, facility sketch, and emergency disaster plan posted in the second living room. The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room/Dinning Room: There is adequate furniture which is in good condition. The area is is equipped with a sofa, a reclining chair, and a television. Home entrance is protected by a screen door, followed by wooden door. Windows operational with vertical blind and screens are operational. Dinning area contains a four seated dining set with four straight back chairs. There is a wall heater next to the dinning table. Smoke alarms located in every bedroom were tested during the inspection and they were all in working condition. There is a working telephone in the living room. There is a second living room behind the kitchen. It has adequate seating with a sofa and chairs. There is a desk and chair, a TV, board games, puzzles, and other activities. There second wall heater in the second living room. Posted in the living room is the disaster plan, facility sketch, foster care ombudsmen poster, and personal rights statement. Kitchen: Is equipped with an operable 4 burner stove, refrigerator/freezer, small kitchen counter appliances, locked cabinet for sharps and client medication to be inaccessible to clients in care. Below the sink is a locked cabinet for cleaning solutions. In the kitchen the first aid kit was checked and is complete with scissors, tweezers, thermometer, and gauzes, antiseptic. Fire Extinguisher was fully charged and available in the kitchen. Bedroom #1: is for the licensee and is located off of the dinning room and is equipped with queen bed, and a closet. Bedroom #2: is for the licensee's biological child and is located off of the dining room opposite bedroom #1 and is equipped with 1 twin bed and a bassinet, clean bedding, adequate closet space, and has one working window with a screen. Bedroom #3: is vacant, and is located after the kitchen off of the second living room, equipped with 1 twin sized bed clean bedding, adequate closet and drawer space. Has a working window with a screen and bars with a working release switch. Bedroom #4: is vacant, and is located after the kitchen off of the second living room, equipped with 2 twin sized beds clean bedding, adequate closet and drawer space. Has a working window with a screen and bars with a working release switch. All rooms are clean, safe, and sanitary. Bathroom #1: is located off of the dinning room adjacent to bedroom #1 and #2. It is clear of all cleaning solutions with a working toilet, sink, and shower. Bathroom #1: is located off of the second living room. It is clear of all cleaning solutions with a working toilet, sink, and shower. LPA observed that the outdoor activity space (back yard) is mostly free of obstructions, behind the garage is a thin space where some debris is sitting. LPA instructed Licensee to remove the debris and License agreed to put the debris by the curb and call trash pickup. The garage is locked and being used for storage. The home will utilize Tesla to transport clients in care. Current automobile insurance is with StateFarm Insurance Company. Insurance and registration is current. Exit Interview was conducted and a copy of this report was given to the applicant. Licensee will follow up with LPA and share pictures when debris is cleared from the backyard. There were no deficiencies found as a result of the post-licensing inspection


summary: Facility Evaluation

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Narrative:
On 9/12/25 at 2: PM LPA Reagan Cohen arrived at the above facility to start a case management other visit. LPA meet with administrator and reviewed staff files together. LPA informed Administrator of the requirements for staff files and what LIC forms and other forms are to be included in all staff files. LPA and Administrator discussed staff training requirements, First Aid requirements, Staff criminal record clearance, Law Enforcement investigations, & facility vehicles. No deficiencies cited. Exit Interview conducted, and a copy of this report was given to the administrator.

met_with: Alesha Briggs Administrator


summary: Facility Evaluation

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Narrative:
On 11/13/24, Licensing Program Analyst (LPA) Reagan Cohen arrived at the above facility, for the purpose of conducting an Annual/Required inspection for the facility. LPA met with Licensee, Alesha Briggs who granted access into the home. The LPA toured the facility both inside and out. Currently residing in the home is the Licensee, two biological children, and one client. The facility is licensed for 3 clients ages 6-17 ambulatory only. The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room/Dinning Room: There is adequate furniture which is in good condition. The area is is equipped with a sofa, a reclining chair, and a television. Home entrance is protected by a screen door, followed by wooden door. Windows operational with vertical blind and screens are operational. Dinning area contains a four seated dining set with four straight back chairs. There is a wall heater next to the dinning table with a cover around it. Smoke alarms located in every bedroom were tested during the inspection and they were all in working condition. There is a working telephone in the den. There is a den behind the kitchen. It has adequate seating with a sofa and chairs. There is a desk and chair, a TV, board games, puzzles, and other activities. There second wall heater with a cover in the second living room. Posted in the den is the disaster plan, facility sketch, foster care ombudsmen poster, and personal rights statement. Kitchen: Is equipped with an operable 4 burner stove, refrigerator/freezer, small kitchen counter appliances, locked cabinet for sharps and client medication inaccessible to clients in care. Below the sink is a locked cabinet for cleaning solutions. In the kitchen the first aid kit was checked and is complete with scissors, tweezers, thermometer, and gauzes, antiseptic. Fire Extinguisher was fully charged and available in the kitchen. Bedroom #1: is for the licensee and is located off of the dinning room and is equipped with queen bed, and a closet. Bedroom #2: is for the licensee's biological child and is located off of the dining room opposite bedroom #1 and is equipped with 1 twin bed and a bassinet, clean bedding, adequate closet space, and has one working window with a screen. Bedroom #3: is vacant, and is located after the kitchen off of the den, equipped with 1 twin sized bed clean bedding, adequate closet and drawer space. Has a working window with a screen and bars with a working release switch. Bedroom #4: is for client #1, and is located after the kitchen off of the second living room, equipped with 2 twin sized beds clean bedding, adequate closet and drawer space. Has a working window with a screen and bars with a working release switch. All rooms are clean, safe, and sanitary. Bathroom #1: is located off of the dinning room adjacent to bedroom #1 and #2. It is clear of all cleaning solutions with a working toilet, sink, and shower. Bathroom #1: is located off of the second living room. It is clear of all cleaning solutions with a working toilet, sink, and shower. There are an adequate supply of toiletries and towels/linens. Outdoor activity space (back yard) free of obstructions, with outdoor games and a basketball hoop. The garage is locked and being used for storage. The home will utilize Tesla to transport clients in care. Current automobile insurance is with StateFarm Insurance Company. Insurance and registration is current. LPA will return to continue inspection including staff and client file reviews, staff and client interviews, facility file reviews, and completing the CARE Tools Checklist. Exit Interview was conducted and a copy of this report was given to the Licensee.

met_with: Licensee Alesha Briggs


summary: Facility Evaluation

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Narrative:
On 7/30/25 at 3: PM LPA Reagan Cohen arived at the above facility for the purpose of conducting a Case Management visit. LPA meet with Administrator Alesha Briggs. LPA requested a copy of the staff and client roster. LPA requested to review staff files specifically their security clearances. LPA observed the clearance letter for S2. LPA asked about other potential employees S3 and S4. Administrator explained that those adults were potential employees but were not hired and never worked in the facility. LPA talked with Administrator regarding the previous complaint investigation that happened against the facility. LPA observed that S1 was not cleared on Guardian. Administrator explained that they believe S1 has the proper clearance from Guardian and that all the proper paperwork was submitted, but could not produce any paperwork to prove it. A Deficiency and Citation were administered and recorded on 809-D. Exit Interview was conducted with Administrator and a copy of this report and appeal rights were given to the Administrator.


summary: Facility Evaluation

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Narrative:
On 2/11/ LPA made an unannounced visit to the facility. LPA met with Licensee Alesha Briggs. The purpose of the visit was for LPA to get signatures for the amended LIC 9099 report for complaint 34-CR-20250904113021 originally dated 11/13/26. LPA met with Licensee and explained why the LIC 9099 needed to be amended due to aditional evidence that needed to be investigated. LPA interviewed staff regarding the additional evidence. LPA will return to interview the client. Exit Interview Conducted and a copy of this report was given to the Licensee.


summary: Facility Evaluation

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Narrative:
On 3/20/ LPA Reagan Cohen and LPM Lakescia Smith met with Licensee Alesha Briggs at the Regional Office for the purpose of an informal office meeting. LPA, LPM, and Licensee discussed Licensing Concerns & Expectations, and the below agenda. a. Maintaining Staff Records i. Records to be Maintained at the Facility - Small Family Home, LIC 311E LPA and LPM reminded the Licensee of the documents that must be maintained in staff files. b. Training i. Training verification must be maintained in staff/licensee file and available for licensing review Provider confirmed she has provided her staff with training from outside vendor. ii. Caregiver cannot create a training certificate and sign off that they completed training. Certificates must be completed by an outside agency. iii. Training Resources - Community Colleges offer Foster Parent Training classes LPA and LPM informed Licensee that training topics are available in the General Licensing Requirements. c. Multiple Attempted Visits i. LPA attempted multiple visits to the home without success Licensee confirmed that she is not working and will work with LPA to make herself available for visits. d.Complaint Investigation i. Allegation regarding smoking marijuana on the premises ii. LPM was notified staff tested positive for marijuana LPA and LPM were informed that Shawn Lyons was tested before returning to work at the facility. Reporting Requirements (Incident Reporting) i. Submitting incidents reports to licensing 1.Client Hospitalizations 2.Physical/Sexual Abuse Allegations 3. Runaway ii. Submitting Addendums iii.ccllawres@dss.ca.gov LPA and LPM reminded Licensee that incident notifications must be submitted within 24 hr and submit an Incident Report within 7 days. Provider was reminded to use addendums when information is received after initial report. f. Licensee Duties and Responsibilities (SFH Caregiver) LPM reviewed care giver responsibilities with Licensee. Licensee stated they would email and submit to LPA & LPM a copy of Shawn Lyons file and an updated LIC 500. LPA and LPM received a copy of the program design. Caregiver was provided with resources from the regulations regarding the discussed topics. End of interview completed. A copy of this report was given to the Licensee.

visit_type: Complaint Investigation


summary: Facility Evaluation

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Narrative:
On 3/25/ LPA arrived at the above facility for the purpose of Case Management other visit. LPA meet with Licensee Alesha Briggs who granted access to the facility. LPA delivered amended copies of the complaint findings for 34-CR-20250904113021. LPA arrived at the facility at 9: AM. LPA knocked at the door and no one responded. LPA called Licensee to inform them of the visit. Licensee later called back and informed LPA that they were out at an appointment and would return at 11: AM. LPA agreed and stayed in the area until Licensee returned to the facility. LPA and Licensee reviewed the complaint findings and signed the amended LIC 9099 & 9099-C. Exit interview conducted, a copy of this report was given to the facility.


summary: Complaint Investigation - Unsubstantiated

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Narrative:
(This report is being Amended due to LPA receiving additional evidence that needs to be addressed and investigated. See LIC 812 for additional interviews.) During the meeting, LPA observed the client's support team providing care and encouragement, and the client receiving the encouragement and expressing appreciation for the facility and the staff. Based on witness, client, & staff testimony evidence, LPA concludes that the client was not physically abused while in care. All interviews of staff, clients, and witnesses stated that there is no abuse of the client. Most importantly, the client has denied the allegations and expressed love and appreciation for the facility and its staff. Also, record reviews of the drug test showed that S2 was not working at the facility at the time of the test. Based on the available information, LPA gathered from interviews and records reviews, the preponderance of the evidence standard has not been met, and the allegation has been rescinded; therefore, the allegations of "Foster child is being physically abused while in care & Staff smokes marijuana outside the home" are found to be unsubstantiated. End of Interview.

Investigation Findings:
13(This report is being Amended due to LPA receiving additional evidence that needs to be adressed and investigated. See LIC 812 for aditional interviews.) During the course of the investigation, LPA interviewed involved staff, clients, and witnesses. All staff stated that the client has never been abused by or in the Cerether Facility. All staff shared how they have been trained to respect clients in care. Staff also testified that S2 has not been under the influence of substances at any time during their shift and while working with C1. S2 did take a voluntary drug test, which returned positive for marijuana, but the test was taken during the weekend when S2 was not only not on shift or close to working with C1, but also during a time when S2 was not working at the facility, according to S2's testimony. Witness testimonies all shared that the facility and the staff are providing excellent care, supervision, and support to the client. The client shared with LPA that the allegations were false and never happened. The client also testified that C2 has never been under the influence when working with him. The client shared that they love the facility and the staff. Client stated that the facility is like a family and has been extremely supportive. LPA sat in on a meeting between the client, the licensee, the therapist, and the school the client attends. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Lakescia Smith LICENSING EVALUATOR NAME: Reagan Cohen 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 34-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION EL SEGUNDO CRP RO, N. Continental Blvd. #290B FACILITY NAME: CERETHER HOME CAREFACILITY NUMBER: VISIT DATE: 11/13/2025