facility_name: GIVEN CARE FAMILY HOMES LLC

summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2025, at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez and Licensing Program Manager (LPM) Kevin Sauk conducted an announced visit for the purpose of a pre-licensing inspection for the above-mentioned facility. Licensing staff met with the Facility Administrators, Beverly Roberts who granted access, and who provided a tour of the facility. This facility is designed to care of up to two (2) children ages 6-17 with developmental disabilities. The facility is a 2-story home with three (3) bedroom and three (3) bathrooms. There are two (2) outdoor sheds, patio area, and spa area. The following was observed during the toured the facility: Bedroom 1: This bedroom is equipped with two (2) twin beds, one (1) side table, a T.V., a wardrobe, and a closet. There are two (2) hampers as well. Bedroom 2: This bedroom is equipped with one (1) full-sized bed, a wardrobe, a T.V., and a closet. Continue on 809-C (Page 1) Upstairs bathroom: The temperature was tested to be 122 degrees Fahrenheit at the time of the inspection. Applicant will be adjusting the temperature to follow regulations. The bathroom is equipped with a toilet, sink, and shower/bathtub. Downstairs bathroom: This bathroom room is fully equipped with a shower/tub, sink and toilet. Kitchen: This area of the home has all working appliances with a refrigerator, microwave and a gas stove. There are plenty of cutlery and plates. Sharps will be stored in a drawer by the kitchen sink, but at the time of the inspection there was no lock. Per Applicant, they will be putting a baby lock on the drawer. Cleaning supplies will also be in a cabinet under the sink that already is equipped with a baby lock. Medication will be stores in a cabinet next to the refrigerator. At the time of the inspection there was no lock on the cabinet for the medication, but the applicant stated that she will be installing one. Master Bedroom/office: The applicant will be sleeping in this room, and it is also equipped with a master bathroom. Living Room/Dining Room: This space is fully furnished with a large couch and T.V. There are multiple cabinets by the living room space. There is a dining room table that seats four (4). Backyard: This area of the facility is a spacious backyard with a patio, two (2) sheds and a spa area. The patio is furnished with 1 couch, 6 chairs, and grill. The two (2) sheds are used for storage and have locks. The spa area contains a jacuzzi that is fully covered at the time of the inspection. Continue on 809-C (Page 2) Garage: This area of the facility is a three (3) car garage is spacious and contains cabinet space where the linens are stored as well as extra storage space. The are two (2) doors from the garage that lead inside the home. LPA Observations: Fire alarms were tested and follow statuary regulations. Water temperature was at 122 degrees Fahrenheit. The facility is not equipped with an alarm system. There is a total of three (3) exterior cameras in the facility. There is a ring camera by the front door, one (1) camera by the left-side of the garage facing the driveway, and one (1) camera located in the backyard. Per applicant all cameras have audio and visual. There are no cameras inside the home at the time of the inspection. There is a total of two (2) fire extinguishers. LPA observed the personal rights, disaster plan, evacuation route posted around the facility. There are no firearms in the home. There is alcohol in the home per applicant they are located in the cabinets by the dining table. LPA observed the baby locks in the cabinets and there were wine bottles located above the cabinets as well. Exit interview was conducted and a copy of this report was emailed to the FA.

met_with: Facility Administrator - Beverly Roberts


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On 10/31/2025, at 10:00 am, Licensing Program Analyst (LPA) Nestor Gomez and Licensing Program Manager (LPM) Kevin Sauk conducted a component II meeting with applicant, Beverly Roberts. The purpose of this meeting is to go over any issues regarding the submitted documentation and to answer any questions the applicant may have. During the meeting, it was confirmed that all licensing forms and supporting documentation have been submitted, reviewed and approved. No revisions or additional documentation are required at this time. It is noted that CCL experienced an extended delay in the processing of the application due to the applicant's pending criminal record clearance through Guardian. The clearance has since then been approved. At this time, the application file is considered complete and compliant with the applicable licensing requirements.

report_type: Facility Evaluation

met_with: Beverly Roberts - Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2025, at 9:00 am, Licensing Program Analyst (LPA) Miguel Gomez conducted an announced visit for the purpose of a post-licensing inspection for the above-mentioned facility. LPA Gomez met with the Licensee, Beverly Roberts who granted access, and who provided a tour of the facility. This facility is designed to care of up to two (2) children ages 6-17 with developmental disabilities. The facility is a 2-story home with three (3) bedroom and three (3) bathrooms. There are two (2) outdoor sheds, patio area, and spa area. The following was observed during the toured the facility: Bedroom 1: This bedroom is equipped with two (2) twin beds, one (1) side table, a T.V., a wardrobe, and a closet. There are two (2) hampers as well. Bedroom 2: This bedroom is equipped with one (1) full-sized bed, a wardrobe, a T.V., and a closet. Continue on 809-C (Page 1) Upstairs bathroom: The bathroom is equipped with a toilet, sink, and shower/bathtub. Downstairs bathroom: This bathroom room is fully equipped with a shower/tub, sink and toilet. Kitchen: This area of the home has all working appliances with a refrigerator, microwave and a gas stove. There are plenty of cutlery and plates. Sharps will be stored in a drawer by the kitchen sink, but at the time of the inspection there was no lock. Per Applicant, they will be putting a baby lock on the drawer. Cleaning supplies will also be in a cabinet under the sink that already is equipped with a baby lock. Medication will be stores in a cabinet next to the refrigerator. At the time of the inspection there was no lock on the cabinet for the medication, but the applicant stated that she will be installing one. Master Bedroom/office: The applicant will be sleeping in this room, and it is also equipped with a master bathroom. Living Room/Dining Room: This space is fully furnished with a large couch and T.V. There are multiple cabinets by the living room space. There is a dining room table that seats four (4). Backyard: This area of the facility is a spacious backyard with a patio, two (2) sheds and a spa area. The patio is furnished with 1 couch, 6 chairs, and grill. The two (2) sheds are used for storage and have locks. The spa area contains a jacuzzi that is fully covered at the time of the inspection. Continue on 809-C (Page 2) Garage: This area of the facility is a three (3) car garage is spacious and contains cabinet space where the linens are stored as well as extra storage space. The are two (2) doors from the garage that lead inside the home. LPA Observations: Fire alarms were tested and follow statuary regulations. The facility is not equipped with an alarm system. There is a total of three (3) exterior cameras in the facility. There is a ring camera by the front door, one (1) camera by the left-side of the garage facing the driveway, and one (1) camera located in the backyard. Per applicant all cameras have audio and visual. There are no cameras inside the home at the time of the inspection. There is a total of two (2) fire extinguishers. LPA observed the personal rights, disaster plan, evacuation route posted around the facility. There are no firearms in the home. There is alcohol in the home per applicant they are located in the cabinets by the dining table. LPA observed the baby locks in the cabinets and there were wine bottles located above the cabinets as well. Exit interview was conducted and a copy of this report was emailed to Licensee.

met_with: Beverly Roberts


facility_name: GLADSTONE FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On 12/09/2025, Licensing Program Analyst (LPA) Gilbert Marquez and Charmaine Linley conducted Component III Small Family Homes via Microsoft TEAMS with both Co-Applicants, Corinthia Houston and Jermaine Gladstone. A copy of the handout was emailed prior to Component III and the Pre-Licensing Inspection is scheduled for December 17, 2025, at 10:00 am. A copy of this report was emailed to Corinthia Houston for a signature and a copy of the signed report will be placed in the facility file.

met_with: Corinthia Houston and Jermaine Gladstone, Co-Applicants


summary: Facility Evaluation

raw_content:
Narrative:
On 12/17/2025 at 9:10 am, Licensing Program Analyst (LPA) Gilbert Marquez arrived at the facility to conduct a pre-licensing inspection of the facility. LPA met with both Co-Applicants, Corinthia Houston and Jermaine Gladstone who led a tour of the facility. The facility was toured inside and outside. There are no clients in placement. The facility is located in a residential neighborhood next to a golf course. The facility is a single-story building with four bedrooms and two bathrooms which are set up as follows: Bedroom #1 (Master) has a California King bed and sleeps both Co-Applicants; Bedroom #2 (Personal Bedroom) has a bunk bed and sleeps two biological children of the Co-Applicants; Bedroom #3 (Personal Bedroom) has one single full bed and sleeps a relative of the Co-Applicants; Bedroom #4 (Clients) has two single twin beds and will sleep two clients; Bathroom #1 is a "Jack and Jill" bathroom that that is in between the Master bedroom and the Co-Applicants's Biological Children's bedroom; Bathroom #2 (Clients) has a shower, sink, toilet, and is in the hallway that connects to the kitchen; The facility also consists of a living room, kitchen, dining area, a laundry room located in the hallway between the garage and kitchen, a two car garage that currently holds storage of items and gym equipment, and a backyard which holds an in-ground swimming pool with a five foot fence with a self-latching mechanism that is locked, and meet standards of Title Regulations. The backyard also has a shed with garden tools that is secured with a locking bolt, and a dog cage for the Co-Applicant's Dog. The property has walls around its perimeter with neighborhood homes directly adjacent to the property, and the front of house faces the golf course.***Continued on Lic809c*** **CONTINUED FROM LIC809**The home currently has eight security cameras that can record audio; LPA witnessed Co-Applicant Jermaine disable the audio on all eight cameras, and LPA reminded both Co-Applicants about ensuring the privacy of clients by having the audio disabled at all times. LPA viewed the camera monitor screen located on both the Co-Applicant's phone via phone application, and on the smart TV in the living room via a smart TV application. LPA noted that cameras were continuously videotaping the outside perimeter of the house, and the three inside areas. The cameras are on the facility sketch and described in the plan of operations. The placement of the eight cameras are as follows: (Interior 1 of 3) Facing the living room and dining room and entry way of front of house; (Interior 2 of 3) Facing the playroom and back entry way of house leading to the patio and backyard; (Interior 3 of 3) Placed in the garage facing the garage door; (Exterior 1 of 5) Facing the walkway leading up to the front of house; (Exterior 2 of 5) Facing the driveway; (Exterior 3 of 5) Facing the south side of the house or the south "side yard" which also allows exit and entry to backyard; (Exterior 4 of 5) Facing the patio and the shed and main area of backyard; (Exterior 5 of 5) Facing the pool area including the entry gate. There is a properly fenced and secured fire place in the living room. The Co-Applicants showed LPA that there is a gun stored in a gun safe with a keypad lock in the locked garage, in a locked cabinet, and the ammunition is placed in another container in the gun safe that requires a separate key. The Client's bedrooms were arranged so that no more than two client's will be in that room. No room is commonly used for other purposes that is also used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There are four smoke/carbon monoxide detectors and were located in the following areas: clients' bedroom, biological children's bedroom, the playroom, and the dining room. The combo detectors were checked and in properly functioning order. The home's central air conditioning module is located on the outside perimeter of the house in the side yard. The home's water heater is located in the home in a closet. The home appliances were in working order at the time of this inspection which included the following: gas stove and oven combo, microwave, refrigerator and freezer combo unit; and toaster oven. **Continued on Page 2 of Lic809c** **CONTINUED FROM LIC809C**The Client and Staff files will be locked in a portable file cabinet which is placed in a cabinet in the dining room. There was adequate food storage space. LPA observed a supply of perishable food for a minimum of three meals for three days, and a minimum seven day supply of non-perishable food. A trash can for storage of solid waste had a tight-fitting lid and was present in the kitchen. The sharp knives are locked in a kitchen drawer. The medications will be located in a locked cabinet in the hallway that connects the client bedroom and kitchen. The laundry room is accessible through a locked door between the kitchen and the garage. The cleaning supplies and disinfectants are located in a locked cabinet under the sink in the kitchen and in the locked laundry room. The hot water in the kitchen and client's bathroom was measured and registered at 118.6 degrees Fahrenheit, which is within the regulatory requirements. The home's First Aid kit was accessible and is located on top of the kitchen refrigerator, and the first aid manual was located in the dining room cabinet. There are two fire extinguishers present in the home located in the dining room near the kitchen and the second one is in the playroom. It was observed to be in the green full indicator range. The Co-Applicants stated they will always have one cell phone for the client to use at all times and did not have a land line available. The Co-Applicants will speak with assigned LPA Charmaine Linley to discuss pending Guardian applications for two employees and other documents that are still needed for review or submission in order to obtain a final license approval. An exit interview was conducted, and a copy of the report was provided to Co-Applicants Corinthia Houston and Jermaine Gladstone. A copy of this report will be placed in the facility file.

visit_type: Prelicensing

met_with: Corinthia Houston and Jermaine Gladstone, Co-Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2025, at 9:25 am, Licensing Program Analyst (LPA) Charmaine Linley, met with the applicants at the Riverside Children's Residential Program Regional Office for the purpose of conducting a Component II meeting. The applicants were previously emailed the list of revisions, along with the LIC 184 and LIC 281 on July 25, 2025. LPA reviewed the regulation 83064(b): Licensee Duties and Responsibilities: The licensee shall be regularly present in the home when children are in the home full time.....(1) If all children are involved in out of home programs, such as school or day care, the licensee shall be permitted to be regularly absent during those hours. Applicants stated their goal is to provide a safe and loving home for up to two children, that may be placed by the Regional Center or Social Services. Applicants will accept children with specialized health care needs and will hire the appropriately licensed staff by the Pre-Licensing inspection. Applicants will submit transcripts and training certificates for four of the topics listed in the Licensee qualifications. Applicants stated they have had two Pre-Licensing inspections for the Fire Department and anticipate to schedule the final inspection after today's meeting. The following areas were discussed:  Corinthia will provide the marriage certificate to document the legal name change ***  Applicants will provide the property tax bill which documents the physical address.  Applicants will update the brochure to indicate accepting ambulatory children with the designated ages, and the brochure will include the license number.  Applicants understand children cannot be restrained in Small Family Homes.  Applicants will broaden the language of meetings with the clients and their Authorized Representative to include meetings with the Regional Center. Licensee Qualifications: Applicable experience shall be documented in writing, by a person other than the applicant, and submitted to the licensing agency. (b) The following are examples of course, seminar, conference or training topics which will be accepted by the licensing agency to meet the requirements above. Programs which can be shown to be similar will also be accepted. (1) Child development (2) Recognizing and/or dealing with learning disabilities (3) Infant care and stimulation (4) Parenting skills (5) Complexities, demands and special needs of children in placement (6) Building self-esteem, for the licensee or the children (7) First aid and/or CPR (8) Record keeping (9) Bonding and/or safeguarding of children's property (10) Licensee rights and grievance process (11) Licensing and placement regulations (12) Rights and responsibilities of family home providers ***CONTINUE ON NEXT PAGE Section A Documents: A1. Application (LIC 200):  Please remove Gladstone Family Home from #19. A2. Applicant Information (LIC 215):  Provide updated LIC 215 for Jermaine. A3. Applicant Information (LIC 308):  Since Corinthia and Jermaine are the Licensees, this form will need to be signed designating someone else in their absence. This form is not a requirement as the Licensee is expected to be at the facility when the children are present. A5. Affidavit Regarding Client Cash Resources (LIC 400):  Applicants will fill out this form and submit with the revisions. A6. Surety Bond (LIC 402):  Applicants will obtain a bond. A10. Personnel Report (LIC 500):  Please complete date employed for Corinthia, Carolyn, and Jermaine. A11. Personnel Record (LIC 501):  Carolyn will complete the LIC 501 and will submit with the revisions. A14. Emergency Disaster Plan (LIC 610C):  Section II, correct spelling error - Child Protective Services, Hospital  Provide two letters for the two relocation site with authorization from the agency or person currently in possession. This authorization needs to include a printed and signed name of the person/agency authorized to sign. *** A15. Facility Sketch (LIC 999):  Please identify personal bedrooms and client bedrooms. Indicate how many clients in bedrooms and if they are ambulatory or non-ambulatory.  Identify the room next to the living room that will be for staff use.  As a reminder, a bedroom used by a child with special health care needs shall not be shared with another minor residing in the facility if the child's need for medical services or the child's medical condition would be incompatible with the use and enjoyment of the bedroom by each minor.  Include bathroom dimensions.  Indicate exit routes by number as shown on the LIC Emergency Disaster Plan.  Rooms to be used by non-ambulatory clients/residents and staff should be identified by circling them.  Sketch of outdoor space must show dimensions and location of major equipment and swimming pools. Sketch must also identify utility shut-off locations at #1 and #2. Video Cameras: The information below must be provided:  Remove references to foster youth and foster youth personal rights, you can include them, however, you have indicated that you will accept children from the Regional Center.  Describe how the licensees will work with placing agencies to address situations in which a child objects to video cameras.  Describe how video cameras will be used in a trauma-informed manner.  Describe whether video cameras will be livestreamed only or recorded.  Describe who will have access to the recordings and how the recordings will be stored and safeguarded. Section B Documents: B7: Facility Program Description:  There is a brochure that states the home will accept children that are non-ambulatory however, the LIC 200 indicates ambulatory states accepting children 3-12 and then 5-10, please clarify. Ensure advertising regulations are followed: Advertisements and License Number... (a) Licensees shall reveal each facility license number in all advertisements in accordance with Health and Safety Code Section 1514.  Daily schedule of activities should state who conducts and assists clients in participating in these activities. ***  One month schedule of planned social, educational and recreational activities should include the times and should state who conducts, and assists clients in participating in these activities.  Provide a description of the optional services provided in the facility as listed in the admission agreement. Medication:  Describe how psychotropic medication shall only be used in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 83070(b)(11).  Describe how the facility will obtain a copy of the current court order, or written authorization of the child's parent or guardian, for each psychotropic medication, as defined in Section 84001(p)(4).  Describe the use of Psychotropic Medication Administration Records (PMAR LIC 622B). A separate log for each psychotropic medication prescribed to the child documenting all the following in Title 22 83070(12).  Describe or provide the consent forms, completed by the child's authorized representative(s), to permit the facility to authorize medical care.  Provide a statement that medication errors will need to be reported and documented to CCL, according to the timeframes for reporting requirements.  Provide a statement that any medication refusal by a client is considered a "Special Incident" and a report will be sent to Community Care Licensing.  Describe the Medical Assessment/TB Test that needs to be completed prior to or within 30 days of acceptance.  Describe how staff that are responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross.  Describe how the facility shall ensure that the transportation provided safeguards the health and safety of a child and shall not violate the personal rights of a child as required by Section 83072.  Provide a list of consultants to be used by the facility that is specific to the population.  Please note that CFT meetings apply only to foster youth, please broaden the language as you have indicated you will be accepting children from the Regional Center and the Authorized Representatives are their Parents and/or Guardian.  Please provide more information on how the clients/parents/authorized representatives can file a grievance, where the information is located, who responds to the complainant, what is the timeframe for responding, how the outcome is documented, and where the procedures are documented in a common area. This is the facility's grievance procedure and how the Licensee will respond. *** B8: Rules of Discipline/Personal Rights:  Remove all references to restraints, restraints are NOT allowed in Small Family Homes.  Any removal of youth's electronic devices will need prior approval in a signed Needs and Services plan with the reason why device would be removed.  Provide the lengths of time-outs.  Provide a statement that discipline does not include a violation of personal rights.  Describe the grounds for dismissal/removal from placement, this should include planned discharges and the emergency discharges.  Provide a clear statement that there will be no corporal or unusual punishment used.  Describe the age appropriate allowance and the amount in this section. Tokens cannot replace allowances. This is a personal right for all youth to receive an allowance.  Describe how the child will sign the personal rights form at intake and each time a new right has been added.  Provide a copy of the discipline policy and describe how the child will sign the form. B9: Admission Policies:  Provide a copy of the Admission Agreement. LIC 604 can be used as guide, however, cannot be used as the Admission Agreement.  There is a reference regarding placement in STRTP, please remove.  Describe the persons accepted for care, including age range and compatibility determination process.  Crisis Management Assessment: Remove all references regarding advance directives, seclusion, any type of restraints. This section needs to be rewritten as it is not appropriate for the population you are accepting.  Describe the criteria for assessing appropriateness of placement given an individual client's needs (i.e., interviews, procedures for obtaining and developing the necessary paperwork, etc.)  Describe how the child will be involved in the needs and services plan and how they and their Authorized Representative will sign and sign for any modifications/updates to the plan.  Provide a statement that clients/residents will be informed of their rights and that client's/resident's rights will not be violated).  Describe the pre-admission appraisal plan in this section. ***  Describe how the facility will obtain emergency information.  Describe the sign-in and sign-out procedures for the clients/residents.  Staff cannot use any type of Pro-Act or CPI type of restraints and if there is training in models that utilize restraints, restraint training cannot be utilized by any individuals at the facility. Restraint training cannot be approved for a Small Family Home. B10: Sample Menu: The sample menu will include:  Provide the times meals and snacks are served. B11: Control of Property:  Provide documentation of Corinthia Gladstone's name, as this is the last name indicated on the grant deed.  Provide documentation of the address with the grant deed, as it lists the lot information, however, it does not list the actual address, only mailing address. Specialized Health Care: Describe:  Describe who has the skills of qualified technical or professional personnel that is required for children with special health care needs that include: enteral feeding tube, total parenteral feeding, a cardiorespiratory monitor, intravenous therapy, a ventilator, oxygen support, urinary catheterization, renal dialysis, ministrations imposed by tracheostomy, colostomy, ileostomy, ileal conduit, or other medical or surgical procedures or special medication regimens, including injection, and intravenous medication  Describe the individual who will develop an individualized health care plan for a child with special health care needs. This team must include the child's primary care physician or other health care professional designated by the physician, any involved medical team, the county social worker or regional center caseworker, and any health care professional designated to monitor the specialized in-home health care provided to the child as stated in the child's individualized health care plan. The individualized health care plan team may include, but shall not be limited to, a public health nurse, representatives from the California Children's Services Program or the Child Health and Disability Prevention Program, regional centers, the county mental health department and where reunification is the goal, the parent or parents, if available. In *** addition, the individualized health care plan team may include the prospective specialized licensees who shall not participate in any team determination required by Sections 83010.1(a)(1)(C) and (2)(C), and 83065.1(a)(1)(B).  Describe how the following regulations will be met: (a) The licensee shall not accept a child with special health care needs unless the licensee has obtained an individualized health care plan for the child. The plan shall include the following information: (1) The name, address, and phone number of the health care professional responsible for monitoring the child's ongoing health care. (2) The appropriate number of hours of on-site supervision and monitoring, and the appropriate number of hours of off-site supervision and monitoring, needed to be provided by the monitor designated in Section 83069.1(a)(1). (3) Documentation by the child's individualized health care plan team identifying the specialized in-home health care to be administered by a health care professional or responsible adult trained by a health care professional. (4) Arrangements for in-home health support services if required. (5) Specific responsibilities of the licensee for the provision of specialized in-home health care, including any required training and/or additional training. (6) Identification of any available and funded medical services that are to be provided to the child in the home which may include, but is not limited to, assistance from health care professionals. (7) Identification of any psychological, emotional, behavioral, or medical problems that will be identified in the child's needs and services plan or the medical assessment specified in Section 80069. (b) The individualized health care plan for each child with special health care needs shall be updated at least every six months or sooner if the needs of the child change. (c) For any child with special health care needs the hospital discharge plan may be adopted by the individualized health care plan team as the child's individualized health care plan. ***Continue on Next Page (d) The individualized health care plan may be combine with the child's needs and services plan or regional center individual program plan provided that all the information required by each plan is included. Personnel Records for Specialized Small Family Homes: Describe how the licensee will ensure that the personnel records of all persons subject to the requirements of Section 83065.1(a) contain the following: (1) For any training or additional training from which the licensee or other in-home health care provider is exempt: (A) Documentation that the child's individualized health care plan team has determined that it is not necessary for the licensee or other in-home health care provider to complete the specialized in-home health care training or additional training. 1. Documentation may be provided in different ways, including, but not limited to, a written statement from a member designated by the team that the team has been notified and has determined that the training or additional training is unnecessary. (B) A copy of a valid license or certificate indicating that they are a licensed health care professional. (2) For any training or additional training from which the licensee or other in-home health care provider is not exempt: (A) Documentation, by a health care professional providing the training, that the licensee or other in-home health care provider has successfully completed the specialized in-home health care training specified in Section 83065.1(a)(1). Describe the Additional Personnel Requirements for Specialized Small Family Homes: (a) The licensee, assistant caregivers, on-call assistants and any other persons providing specialized in-home health care shall comply with the following requirements: (1) Prior to caring for a child with special health care needs or when the child's needs change, the in-home health care provider shall complete training in specialized in-home health care provided by a health care professional as required by the child's individualized health care plan, except when (A) The in-home health care provider is a licensed health care professional; and; *** (B) The child's individualized health care plan team determines that completion of specialized in-home health care training or the child is unnecessary on the basis of the in-home health care provider's medical qualifications and expertise. LPA discussed corrections and revisions needed for the Small Family Home application and supporting documents. The following is a list of the corrections and revisions discussed and requested. These revisions are due by close of business on August 12, 2025. A copy of this report was provided to the applicants along with the signed Orientation form indicating Component II has been completed. A copy of this report will be placed in the facility file

met_with: Corinthia Houston and Jermaine Gladstone


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2026, Community Care Licensing (CCL) conducted an office conference with Gladstone Family Home Applicant Corinthia Houston. Present at the meeting were: Licensing Program Analyst (LPA) Charmaine Linley and Licensing Program Manager (LPM) Ann Valenzuela. The meeting was called to address the notification to LPM Valenzuela of Ms. Houston's request to remove the Co-Applicant on April 16, 2026. On April 17, 2026, CCL was notified by the Care Provider Management Branch (CPMB), that a criminal record exemption was denied for the Co-Applicant. Ms. Houston has expressed her intent to move forward with her application for a Small Family Home facility license as the sole Applicant. The steps needed to make the changes were emailed to Ms. Houston on April 17, 2026:  Provide a letter to LPA Linley that the Co-Applicant is removing themself as the Co-Applicant and will no longer be present at the home.  Provide a letter authorizing Corinthia to remain at the home and use the property as a Small Family Home with Community Care Licensing. The following steps were emailed to Ms. Houston and they are listed below:  Provide an update if Ms. Houston is still employed and what they will look like as the Licensee needs to be regularly present when the children are present.  Remove Co-Applicant's name on the forms listed below and update:  LIC 200  LIC 215  LIC 308 ***  LIC 420  LIC 500  LIC 610  LIC 999  Letter of Authorization from the owner of the property authorizing Ms. Houston to use the home as a Small Family Home licensed through Community Care Licensing.  Plan of Operations (LIC 281) sections B7, B8, B9, and B11 need to be updated and revised as you are applying as the individual applicant. Ms. Houston dropped off all the documents listed above to the Riverside Office and LPA Linley will review the documents and will let Ms. Houston know if the documents are approved or if any additional information is needed. LPA Gilbert Marquez will contact Ms. Houston to schedule a follow-up to the Pre-Licensing inspection. LPA Linley reminded Ms. Houston that they should have received a letter from CPMB and it is their responsibility to disassociate the Co-Applicant from the roster upon receipt of the letter from CPMB. LPA Linley reminded Ms. Houston that a denied exemption means that individual may not work or be present in an agency licensed by the Department, may not reside or be regularly present in a Resource Family Home and is prohibited from being registered on the Home Care Aide and TrustLine Registries. The Individual is also prohibited from having contact with clients, potential clients or confidential client information of any agency, including Home Care Organizations, licensed by the Department. Ms. Houston agreed to be the sole applicant and will submit a letter to LPA Linley that they will resign in their position once their first client is placed. Ms. Houston will email their letter to LPA Linley by end of business day on 05/01/2026. LPA Linley will review the updated documents and Plan of Operations and will schedule a follow up inspection to ensure all individuals residing at the facility have a clearance. An exit interview was conducted and a copy of this report was provided to Ms. Houston. A copy of this report will be placed in the facility file.

met_with: Corinthia Houston


facility_name: GLADYS WACHIRA SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2025 at 3: PM, Licensing Program Analyst (LPA) Avelina Martinez conducted an in person office meeting with Gladys Wachira. The purpose of the meeting was to continue the small family home application process by conducting the Component II orientation. LPA Martinez explained the purpose of the meeting to Gladys Wachira. Documents discussed during time of meeting were the following: Application Instructions for a facility License. Small family home required documents (LIC 281) Fire Clearance (STD 850) Personnel Record (required education documentation) (LIC 501) Personnel report (LIC 500) Surety Bond (LIC 400) Facility Sketch (LIC 999) (Camera locations) Application (LIC 200) Control of Property documentation Program Statement- Policy and Procedures discussed during time of meeting were the following Program Purpose and Intake Procedures. Intake Process and Admission Polices Facility Forms Trauma Informed Practices and Procedures Camera policies The Applicant has stated they will do the following and submit updated Program Statement and requested documentation. Education document submitted to CCLD by 03/21/2024. LIC Application CCLD by 03/21/2024. STD Fire Clearance CCLD by 03/21/ Program Statement: Applicant LPA Martinez when it has been updated. LPA Martinez will do the following: Will continue to follow up with Glady's throughout the application/licensing process. An exit interview was conducted, and a copy of this report was provided to Gladys Wachira (Applicant). In addition, Gladys was provided a copy of the program statement with comments and requested modifications.

met_with: Gladys Wachira


summary: Facility Evaluation

raw_content:
Narrative:
On August 11, 2025 at 11: PM, Licensing Program Analyst (LPA) Avelina Martinez and Licensing Program Manager (LPM) Dara Campos conducted an in person office meeting with Gladys Wachira and Evans Mureithi. The purpose of the meeting was to follow up on the the small family home application and second program statement revision. LPA Martinez explained the purpose of the meeting to Gladys Wachira. Items discussed during time of meeting were the following: Capacity Program statement revision Education and work experience Age group and acceptance (Clients to be served) The Applicant has stated they will do the following and submit updated Program Statement and requested documentation. Program Statement revision will be submitted to LPA Martinez on August 25, 2025. LPA Martinez will do the following: Will continue to follow up with Glady's throughout the application/licensing process. An exit interview was conducted, and a copy of this report was provided to Gladys Wachira (Applicant). In addition, Gladys was provided a copy of the program statement with comments and requested modifications.

met_with: Gladys Wachira and Evans Mureithi


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Maie Soliman conducted an announced Pre-licensing inspection on 1/8/2026 at 10: AM at the above location, as required for the Small Family Home (SFH) license. LPA met with Gladys Wachira, Licensee (LIC) who helped with the inspection. During the pre-licensing visit, LPA conducted a Health and Safety inspection using the CARE tool. LPA observed the facility was clean inside and outside and safe. LPA observed the facility is a two story house. LPA observed three bedrooms and one office equipped with appropriate furniture and bedding. Sufficient storage space for client's personal belongings was observed in the prospective bedroom. The SFH is requesting to be licensed for two youths ranging in age from infants to 17 years old. LPA Soliman observed a medication Lock box in the kitchen which was empty, but locked, and LIC has the key. The kitchen area was equipped with an adequate amount of utensils, dining supplies, and cups for clients. LPA observed an office space that is used for personal use. The SFH has an attached garage space which houses two fridges, small freezer and cabinets for extra food storage which is inaccessible to children at all times. LPA observed a wood burner fireplace in the living room with a glass barrier. The smoke detectors and carbon monoxide detectors were tested. LPA obtained a copy of the fire clearance dated on 12/12/2025. A fully equipped first aid kit was reviewed and is placed in the kitchen. Personal Rights was posted in a conspicuous location. There are three bathrooms in the SFH with two that are accessible to children to use. The water temperature was tested and found to be not exceeding 120 degrees F. The Small Family Home will not be licensed today due to pending background clearance for two adults. An exit interview was conducted and a copy of this report was left with Gladys Wachira, Licensee.

met_with: Gladys Wachira, Licensee


facility_name: GRACE PINEDA SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On March 16, 2022, Licensing Program Analyst (LPA), Claudia Portillo conducted an unannounced inspection at the small family home (SFH) above for the purpose of conducting an annual inspection. LPA met with the licensee of the home, Silvia Ulloa. A physical plant inspection was completed and included the following checks: small family home grounds are free of observable hazards. There is adequate indoor and outdoor activity space, including an outdoor yard. The smoke and carbon monoxide detectors are in working order. Knives and sharps are locked in a kitchen drawer. LPA observed the Children's Personal Rights, Emergency Contacts, Emergency Plan (evacuation) and Regional Center poster posted on the wall in the facility. The medications and client's files are locked inside a file cabinet located in the kitchen room area. LPA obtained and reviewed the following updated documentation: · LIC Personnel and client roster · Approved Fire Clearance · Disaster Drills log (every 6 months) · Plan of operation/Program Design Continued on page 2.......... Continued page 2....... The Small Family Home (SFH) program was in full compliance with 4 applicable areas of the Compliance and Regulatory Enforcement (CARE) Tools, for Children's Residential licensees. Annual compliance Review consisted of the following domains: physical plant, operations, staffing, and client records,. Community care licensing (CCL) focuses its efforts on three priority areas: prevention, compliance, and enforcement. For this review, four (4) placed Regional Center children (2 minors/ NMD) were selected for the sample to assess the level of care and services they received. Additionally, LPA reviewed two (2) staff files for compliance with Title Regulations. LPA also conducted interviews with two staff members. No clients were interviewed due to their physical condition (non-verbal). Based on record review, the SFH is issued a citation in accordance with Title 22 80076(a)(5) menu which poses a potential health, safety and personal rights risk of harm to children placed in care. Menus were made available without dates and menu remains the same for each day in rotation of the week. Based on record review, the SFH is issued a citation in accordance with Title 22 80076(a)(5) menu which poses a potential health, safety and personal rights risk of harm to children placed in care. Menus were made available without dates and menu remains the same for each day in rotation of the week. An exit interview was conducted and the SFH Administrator, Silvia Ulloa who agreed with the review finding and recommendation. LPA provided a signed copy of this report (LIC 809), 1 technical advisory and LIC 811s (Confidential Names) was provided to the facility representative.

visit_type: Annual

met_with: Silvia Ulloa, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 5/17/22, Licensing Program Analyst (LPA) Claudia Portillo conducted a case management inspection to the above agency and met the Administrator, Grace Pineda. The purpose of today's case management was to discuss the incident reported to Community Care Licensing (CCL) on April 5, 2022, regarding C1 hurting himself when he on an authorized home pass with biological parents. C1 arrived with injuries to his face and arm. LPA Portillo spoke to the Administrator regarding the incident, and she indicated that C1 does not harm himself when he is at the facilty. However, when is triggered the staff can identify his behavior when he doesn't get what he wants. The staff redirects C1 to do something else to prevent him from going into a self-harm behavior. The regional center is aware of his behavior and a CFT has been held with biological parents to discuss his triggers/behaviors. The administrator stated that C1 is non-verbal, and he tends to worry about his brother C2 when C2 starts biting himself. The administrator indicated that they reassure C1 that C2 is okay and redirect him to do other activities. C2 is also non-verbal. The administrator stated the biological father addressed if C1 has the same patterns when he is at the facility and the administrator informed him that C1 tries but he doesn't get any farther than scratching his nose because they are able identify the triggers before it escalates. The administrator stated she hasn't had any concerns with C1 injuring himself when he's mad. In addition, when clients leave, the staff conducts a body check to ensure that there's no injuries to the body/redness for documentation purposes. Based on the information provided during the inspection, there are no violations of Title 22, Division 6 of the California Code of Regulations. No deficiencies were cited during today's inspection. A copy of LIC 809 and LIC 811 was provided to the Administrator and an exit interview was conducted.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On June 29, 2023, Licensing Program Analysts (LPAs), Claudia Portillo and Angelina Garibaldi conducted an unannounced visit at the small family home (SFH) above for the purpose of conducting an annual inspection. LPAs met with the licensee of the home, Silvia Ulloa. There are two non-minor dependents (NMD) in care. A physical plant inspection was completed and included the following checks: small family home grounds are free of observable hazards. There is adequate indoor and outdoor activity space, including an outdoor patio. The smoke and carbon monoxide detectors are in working order. Knives, sharps and disinfectants are locked away and inaccessible to clients in care. LPAs observed the Children's Personal Rights, license, and Emergency Plan LIC 610C posted in the facility. The medications, staff and clients' files are securely locked inside a file cabinet located in the dining area. LPAs obtained and reviewed the following updated documentation: · LIC Personnel and client roster · Disaster Drills log · Plan of operation/Program Design The Small Family Home (SFH) program was in compliance with 4 applicable areas of the Compliance and Regulatory Enforcement (CARE) Tools, for Children's Residential licensees: physical plant, operations, staff and client files. Community care licensing (CCL) focuses its efforts on three priority areas: prevention, compliance, and enforcement. LPA Garibaldi conducted one staff interview. LPAs could not conduct interviews with NMDs due to being non-verbal. Based on observations and record review, no citations were issued on today's annual inspection. An exit interview was conducted and the SFH Administrator, Silvia Ulloa. LPA provided a signed copy of this report (LIC 809) and LIC 811s (Confidential Names) was provided to the facility representative.


summary: Facility Evaluation

raw_content:
Narrative:
On January 12, 2024, Licensing Program Analyst (LPA), Claudia Portillo conducted an unannounced visit at the small family home (SFH) above for the purpose of conducting an annual inspection. LPA met with the licensee of the home, Silvia Ulloa. There are two non-minor dependents (NMD) in care. An annual was conducted on June 29, 2023. At this current moment, the licensee is in the process of converting to an Adult Residential Facility that will hopefully be licensed during the Summer of 2024. The Small Family Home (SFH) program was in compliance with 4 applicable areas of the Compliance and Regulatory Enforcement (CARE) Tools, for Children's Residential licensees: physical plant, operations, staff and client files. Community care licensing (CCL) focuses its efforts on three priority areas: prevention, compliance, and enforcement. NMDs weren't able to be interview due to being non-verbal. Based on observations and record review, no citations were issued on today's annual inspection. An exit interview was conducted and the SFH Administrator, Silvia Ulloa. LPA provided a signed copy of this report (LIC 809) and LIC 811 (Confidential Names) was provided to the facility representative.

met_with: Silvia Ulloa


facility_name: GRACE UPON GRACE SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was alleged that on or around 09/16/21, C1 was restrained by S1 resulting in injury. Specifically, it was reported that C1 was being argumentative and physically confrontational and continued to get aggressive with FA at the SFH. C1 proceeded to cause substantial property damage to the facility and then physically held down FA. S1 tried to get C1 off FA, and the altercation resulted in C1 possibly obtaining a broken nose, per report. Several witnesses corroborate that C1 was physically aggressive, pushing FA to the floor and physically hurting FA, resulting in S1 restraining C1. The majority of witnesses confirm FA and S1 attempted to redirect C1, however, C1 was extremely escalated and was being physically aggressive with FA, resulting in S1 attempting to restrain C1 until law enforcement arrived to the SFH. SD confirmed C1 was physically aggressive and FA was injured upon arriving to the SFH, however, SD states they did not witness C1 physically hurt FA. Most witnesses corroborate C1 did not appear to have injuries at the time SD arrived to the facility, however, one witness maintains C1 suffered an injury, specifically, a broken nose, at the time of S1 restraining C1. Based on confidential interviews, information gathered the allegation that C1 was restrained by S1 resulting in injury is UNSUBSTANTIATED because the preponderance of evidence standard has not been met for the allegation. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to FD, Kenya Finnell, for signature. Original signed reports will be placed in facility file.

Investigation Findings:
13On June 1, 2022, at 1: PM, Licensing Program Analyst (LPA) Carmen Escobar made contact with small family home (SFH) facility director (FD) Kenya Finnell. LPA Escobar conducted a facility risk assessment with FD and proceeded to continue with the facility inspection to issue the investigative finding for the above allegation. During the investigation, LPA requested documents from client 1 (C1's), client 2 (C2's), and client 3 (C3's) files including placement agreements, copy of C1's needs and service plan, and special incident reports involving C1. LPA also obtained a copy of the client roster and staff contact information. LPA Escobar conducted interviews with FD, staff 1 (S1), C1's origianl county social worker (CSW), C1's new county social worker (CSW2), and responding sheriff's deputy (SD). LPA also attempted to interview C2 and C3, however, due to developmental delays, they were unable to provide specific information regarding the above allegation. LPA Escobar also interviewed another involved party. LPA Escobar conducted an in-person inspection of the SFH on 09/27/22 at 9: PM, no health or safety concerns were observed at the time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Carmen Escobar LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: GRACE UPON GRACE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 06/02/2022

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

report_type: Complaint Investigation

met_with: Director - Kenya Finnell

complaint_status: unsubstantiated


raw_content:
Narrative:
It was also reported that the Licensee was contacted by the school later on during the day reporting that C1 had a mark underneath C1's right eye and to have Licensee pick C1 up from the school. Additionally, confidential interviews reported that C1 is prone to self-injurious and self-harming behaviors and has extreme and uncontrollable behaviors around others if C1's needs are not met. Based on confidential interviews and record reviews, the allegation that due to lack of supervision minor (C1) sustained an unexplained injury while in care, may have occurred, however, is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were provided to Licensee, Kenya Finnell.

Investigation Findings:
13On November 07, 2023, at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Grace Upon Grace Small Family Home Licensee, Kenya Finnell, to issue the investigative findings for the above stated allegation. During the investigation, LPA interviewed the Licensee, Reporting Party, Client #1 (C1)'s current caregiver, Licensee's Adult Son, C1's Bus Driver, C1's Inland Regional Center (IRC) case worker. LPA was unable to interview C1 due to C1's ability to communicate. On October 21, 2022, the Department received an allegation that stated due to lack of supervision minor (C1) sustained an unexplained injury while in care. Specifically, it was reported that C1 came to school with a quarter sized black and blue discoloration underneath C1's right eye. Confidential interviews stated they did not see any marks underneath C1's right eye on the day when C1 boarded the school bus and arrived at the school. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Sarah Lo LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: GRACE UPON GRACE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 11/07/2023

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

met_with: Kenya Finnell, Licensee


raw_content:
Narrative:
Based on confidential interviews and record reviews, the allegation C2 inappropriately touched C1 in care due to lack of supervision, may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report and appeal rights were given to Licensee Kenya Finnell.

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: Kenya Finnell


summary: Facility Evaluation

raw_content:
Narrative:
On Thursday February 2, 2022, at 11: AM Licensing Program Analyst (LPA) Linda Haynes conducted an annual inspection of the facility. At time of inspection LPA met with Licensee Kenya Finnell. The facility was toured inside and out with Licensee Kenya Finnell. The home is a one-story residence with three bedrooms and two and a half bathrooms. One client was present at time of inspection. Bedrooms are arranged so that no more than two clients are in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathroom was clean and in good repair. The hot water in the clients bathroom was measured to be 119.4 degrees the clients do not have access to the other bathrooms in the home. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications were stored and locked in a cabinet in the master bedroom. Cleansers/chemicals are locked and stored in closet in the hallway. Sharp knives are inaccessible and stored in a cabinet in the garage through two locked doors. The First Aid Kit is located in the kitchen and contained all required supplies. The facility's smoke detectors in each bedroom were checked and were operable. The carbon monoxide detector it located in the front entrance and was operable. There are no guns or weapons in the facility as stated by Licensee Kenya Finnell. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. The Front door was boarded up due to a client breaking out the glass from the door. The door has been ordered and will be replaced as soon as it comes in. 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 pool or other body of water. LPA reviewed two of two client files during the inspection and noted to have documents required per regulations in file. There was one client present at time of inspection however he is non-verbal so could not be interviewed. The Licensee does not have staff. The licensee needs to have her CPR and first aid card renewed as it expired 7/2021. Based on the facility inspection and file reviews this date, there was one deficiency found at this time. A copy of this report was reviewed and given to Licensee Kenya Finnell.


summary: Facility Evaluation

raw_content:
Narrative:
On January 31, 2023 at 10: AM, Licensing Program Analyst (LPA) Sarah Lo conducted an annual inspection of the facility. At time of inspection LPA met with Licensee Kenya Finnell. The facility was toured inside and out with Licensee Kenya Finnell. The home is a one-story residence with four bedrooms and two and a half bathrooms. The home is set up as follows: · Bedroom #1 - Two twin bed; utilized by C1 and one vacant bed · Bedroom #2 - Two twin bed; utilized by C2 and C3 · Bedroom #3 - Home office, no client is allowed · Bedroom #4 - Master suite w/ full bath and one bed; utilized by Licensee. Bedrooms are arranged so that no more than two clients are in a room, and there is one client 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 shelf and closet space for client's belongings. The bathroom was clean and in good repair. The hot water in the client's bathroom was measured to be 118.2 degrees the clients do not have access to the other bathrooms in the home. All hazardous items have been properly made inaccessible to areas where clients will have access. The fireplace is properly screened. Proper storage of all food was noted and trash cans for storage of solid waste have tight fitting lids. The medications were stored and locked in a cabinet inside of bedroom #4. Cleansers/chemicals are stored in a locked closet in the hallway. Sharp knives are inaccessible and stored in a locked cabinet in the laundry room. The First Aid Kit is located in the kitchen and contained all required supplies. There is no guns or weapons as stated by the Licensee. (continue on LIC 809-c) There is no guns or weapons as stated by the Licensee. The facility's smoke detectors in each bedroom were checked and were operable. The carbon monoxide detector is located in the front entrance and hallway are operable. There are no guns or weapons in the facility as stated by Licensee Kenya Finnell. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation policies, and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. The backyard is completely fenced and free of hazards. Emergency exits were free from obstruction. There is no pool or other body of water. LPA reviewed three of three client files during the inspection and noted Admission Agreement is missing in Client #1 and Client #2 file. Per CCR 80070(b) Each record must contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 80068. LPA reviewed five of five staff files during the inspection and noted Health Screening and TB test result is missing in Staff #2 and Staff #5 file. Per CCR 80066 (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (10) A health screening as specified in Section 80065(g) and CCR 80066 (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) Tuberculosis test documents as specified in Section 80065(g). One Staff interview with Licensee was conducted. Client #1 (C1) and Client #2 (C2) returned from school during the inspection. LPA attempted to communicate with C1 and C2, however, due to their developmental disabilities and both are non-verbal, LPA is unable to interview them. Based on the facility inspection and file reviews this date, there were three deficiencies found at this time. A copy of this report was reviewed and given to Licensee Kenya Finnell.


summary: Facility Evaluation

raw_content:
Narrative:
On June 2, 2022, at 2: PM, Licensing Program Analyst (LPA) Carmen Escobar met Small Family Home Director (FD), Kenya Finnell, and conducted a facility risk assessment before entering the facility. The facility inspection was for the purpose of a case management inspection regarding an incident that occurred on or around 09/16/21. LPA inspected the facility on this date and no health or safety concerns were observed. On 09/27/21, LPA Escobar conducted an inspection of the facility. Information obtained during confidential interviews revealed that around 09/16/21, staff 1 (S1) restrained client 1 (C1) during a physical altercation in which C1 was aggressive and pushed FD to the floor, causing several injuries to FD. Several witnesses corroborated that S1 restrained C1 in order to prevent C1 from further harming FD and causing more physical damage to the facility. Based on confidential interviews, information gathered, and review of the facility's program statement and intervention plan which state restraints are not to be used on clients, it is determined that C1 was restrained by S1. This poses a potential health, safety, or personal rights risk to clients in care. The facility is being cited under Title 22 section Personal Rights. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights, were provided to FD, Kenya Finnell, for signature. Original signed reports will be placed in facility file.


raw_content:
Narrative:
On March 21, 2025, Community Care Licensing (CCL) received an allegation that staff did not prevent a minor from engaging in CSEC activities. It was reported that C1 has left the facility without permission on several occasions to go to another County. Confidential interviews revealed conflicting statements. Records reviewed indicated that C1 was not given approval to have visits away from the facility. Records reviewed could not confirm Law Enforcement was contacted each time C1 left the facility without permission. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that staff did not prevent a minor from engaging in CSEC activities, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to Kenya Finnel. A copy of this report will be placed in the facility file.

Investigation Findings:
13On July 14, 2025, at 12: PM, Licensing Program Analyst (LPA) Mutialu arrived unannounced at the facility and met with Kenya Finnel to discuss the investigative finding for the allegation noted above. LPA Rachel Vanegas conducted an inspection of the facility on March 21, 2025, at 2:10 pm and no deficiencies were observed. LPA Charmaine Linley interviewed two Staff (S1, S2), one County Social Worker (CSW), and one Client (C1) declined to be interviewed. LPA Linley reviewed the facility documents during the investigation. LPA Linley requested a copy of C1's Needs and Services Plan and Child-Family-Team Meeting Notes on two separate dates, however, documents were not provided. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Stefanie Mutialu 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: GRACE UPON GRACE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 07/14/2025

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

met_with: Kenya Finnel


summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Based on the interview and documents review, the preponderance of evidence standard has been met and the allegation that uncleared staff working in the home is substantiated. The Licensee is being cited for violations of Title 22, Division 6, Chapter 1, Section 80019(e)(3) - Criminal Background Clearance.(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 80019(f). A civil penalty has been assessed today for the amount of $500 due to S1 has been employed and working in the home for more than five days, see Civil Penalty Assessment - Caregiver Background Check, LIC 421BG. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Direct Support Staff, Justin Gauthie.

Investigation Findings:
13On November 06, 2025, at 09: AM, Licensing Program Analysts (LPAs) Sarah Lo and Gilbert Marquez met with Grace Upon Grace Small Family Home (SFH), Direct Support Staff, Justin Gauthier, to deliver the finding for the above-stated allegation. On 07/01/25, LPAs Rachel Vanegas and Carissa Aviles inspected the SFH, and no immediate health and safety hazards were observed. The investigation included an interview with the Licensee (LI). In addition, LPA reviewed personnel Report (LIC 500) provided by LI and a review of Guardian Background Check System. On June 30, 2025, the Department received an allegation that stated uncleared staff (S1) working in the home. Specifically, it was reported that LI has staff working for them who do not have background checks. The interview conducted with the Licensee revealed that they had submitted the required documents to the department for S1 to be cleared and associated with the facility and that S1 has been working at the facility for three years. Per review of Guardian Background Check System, it did not show S1 associated with the facility until 10/20/25. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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: GRACE UPON GRACE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 11/06/2025

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

met_with: Justin Gauthier, Direct Support Staff

complaint_status: SUBSTANTIATED


summary: Facility Evaluation

raw_content:
Narrative:
On October 04, 2023 at 1: PM, Licensing Program Analyst (LPA) Linda Haynes began a pre-licensing inspection for Grace upon Grace Small Family Home license. LPA met with applicant Kenya Finnel who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients in the home. The applicant is applying to serve 4 clients ages 3 to 17. The home is a two story building with three bedrooms and 4 bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed sleeps the applicant · Bedroom #2 (Client's) was vacant has two twin beds, it will sleep two client's. · Bedroom #3 (client's) was vacant has two twin beds, it will sleep two client's · A great room/living room, Loft, kitchen, dining area, 4 bathrooms, an office, a craft room, a two car garage and the backyard. The Client's bedroom was arranged so that no more than two clients 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 / Carbon Monoxide Detector in every bedroom. The five smoke detectors / Carbon Monoxide Detectors were checked, and they were working properly. The home comes with a sprinkler system in case of fire. There is a dedicated phone line. The home's central air conditioning module was located on back patio. The home's tank less hot water heater is located in the garage. The appliances were in working order. The client's files will be locked in a file cabinet in the office. 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 the locked office. The medications are located in the locked office. The hot water in bathroom one measured to be 112.4 degrees Fahrenheit, in bathroom two 114.4 degrees Fahrenheit, in bathroom three (Master) 114.4 degrees Fahrenheit, and in bathroom number four 114.9 degrees Fahrenheit. The home's First Aid kit was accessible and is located in the kitchen it had all required supplies. one fire extinguisher was present in the home one is located on the wall in the kitchen. It was 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. 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 Kenya Finnel.

met_with: Finnel Kenya


summary: Facility Evaluation

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Narrative:
On September 16, 2024 at 09:45AM, Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced to the facility listed above for the purpose of conducting a post-licensing annual inspection. LPA met with Licensee - Kenya Finnel, who led a tour of the home, both inside and outside. The home is a two story home with five bedrooms and four restrooms. The first floor of the home contains one bedroom that is utilized as a staff office where medication and knives/sharps are securely stored. There is one bedroom that is utilized as a craft room by the licensee. This staff office and craft room have a coded doorknob entry that remains locked and inaccessible to clients in care. There is also a restroom in this office space. The first story of the facility further consists of: a living room, a dining room, a kitchen, a locked storage closest for extra cleaning supplies, one additional restroom, an attached garage entrance that remains locked, and a patio door leading to the backyard. The kitchen has one motion censored camera located above the pantry. The hot water temperature was measured in the kitchen and registered at 109.4 degrees F. LPA observed an adequate supply of perishable and non-perishable foods and a posted meals menu in the kitchen. The first aid kit was also located in the kitchen and contained all of the required materials. LPA also observed other required postings on a bulletin board in the kitchen such as the facility license, foster youth personal rights, visitation policy, etc. The second story of the home consists of a loft area with recreational activities and television, the master bedroom with one restroom, bedroom #1, bedroom #2, a locked laundry room, and a restroom. Bedroom #1 - Contains two twin beds and sleeps one client. Both beds had adequate sheets and bedding. There is a dresser with ample space for storage of personal belongings and a closet with space for additional storage. **Continued on LIC 809-C** Bedroom #2 - Contains one twin bed and a baby sleeper bassinet. It sleeps one client and will sleep the client's newborn child. There is adequate storage space for personal belongings in a dresser and in the closet in the bedroom. Bedroom #3 - Contains a queen sized bed and sleeps the licensee. All bedrooms are arranged so that no more than two clients are in one room and there is one client per bed. No room commonly used for other purposes is used as a bedroom. All hazardous items have been properly stored and are in inaccessible areas to clients. Inside the facility there were operable smoke detectors and carbon monoxide detectors located in each bedroom and common areas. The facility has an accessible fire extinguisher that is properly charged located in the kitchen. Telephone service and appliances were in working order. The backyard was observed to be clean and free of hazards. The backyard has a netted trampoline set-up for outdoor activities for the children in care along with additional recreation games. There is no pool or other body of water at the facility at this time. LPA conducted two client file reviews and observed the needed documents in the files including, medical screening clearance, needs and services plans, consent to medical treatment authorization forms, placement agreements, etc. LPA conducted five staff file reviews for Staff (S) 1, S2, S3, S5, and S6 and observed that five out of five staff files contained needed documents including CPR/First Aid certificates, Drivers License, Application for Employment, Job Duties, Health Screening, etc. LPA observed that S1 was not associated to the current facility but is fingerprint cleared. Licensee showed LPA proof that documentation was submitted to the Department to associate S1 to the facility. Based on this annual inspection, there are no deficiencies cited at this time. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were reviewed and provided to the licensee - Kenya Finnel.

met_with: Kenya Finnel - Licensee


summary: Facility Evaluation

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Narrative:
On September 16, 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, Kenya Finnel. This report was sent to licensee electronically for signatures and original signatures are in the facility file.

met_with: Licensee - Kenya Finnel


summary: Facility Evaluation

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Narrative:
On October 16, 2025, at 11: AM, Licensing Program Analyst (LPA) Stefanie Mutialu arrived unannounced to the facility listed above for the purpose of conducting a random annual inspection. LPA met with Licensee - Kenya Finnel, who led a tour of the home, both inside and outside. The home is a two-story home with five bedrooms and four restrooms. There were no clients in care at the time of inspection. The first floor of the home contains one bedroom that is utilized as a staff office where medication and knives/sharps are securely stored. There is one bedroom that is utilized as a craft room by the licensee. This staff office and craft room have a coded doorknob entry that remains locked and inaccessible to clients in care. There is also a restroom in this office space. The first story of the facility further consists of: a living room, a dining room, a kitchen, a locked storage closest for extra cleaning supplies, one additional restroom, an attached garage entrance that remains locked, and a patio door leading to the backyard. The kitchen has one motion censored camera located above the pantry. The hot water temperature was measured in the kitchen and registered at 110.6 degrees F. LPA observed an adequate supply of perishable and non-perishable foods and a posted meals menu in the kitchen. The first aid kit was also located in the kitchen and contained all of the required materials... ***Continued on Page 2*** LPA also observed other required postings on a bulletin board in the kitchen such as the facility license, foster youth personal rights, visitation policy, etc. LPA Mutialu observed three internal cameras, one upstairs in the hallway, one located in the loft, and one located in the kitchen. Two external cameras, one is located above the garage facing the driveway and a ring doorbell with camera. LPA Mutialu reminded licensee to submit Plan of Operation amendment to include cameras and updated facility map to LPA Vanegas to ensure facility is in compliance. The second story of the home consists of a loft area with a bed that is not for client's use, recreational activities and television, the master bedroom with one restroom, bedroom #1, bedroom #2, a locked laundry room, and a restroom. Bedroom #1 - Contains two twin beds and sleeps two clients. Both beds had adequate sheets and bedding. There is a dresser with ample space for storage of personal belongings and a closet with space for additional storage. Bedroom #2 - Contains one twin bed and licensee is in the process of moving an additional twin bed from the garage as licensee just removed bassinet. Licensee will provide LPA of photo of second twin bed set-up in bedroom #2. It sleeps one client and will sleep additional client once licensee sets up second twin bed. There is adequate storage space for personal belongings in a dresser and in the closet in the bedroom. Bedroom #3 - Contains a queen-size bed and sleeps the licensee. All bedrooms are arranged so that no more than two clients are in one room and there is one client per bed. No room commonly used for other purposes is used as a bedroom. All hazardous items have been properly stored and are in inaccessible areas to clients. Inside the facility there were operable smoke detectors and carbon monoxide detectors located in each bedroom and common areas. The facility has an accessible fire extinguisher that is properly charged located in the kitchen. Telephone service and appliances were in working order. The backyard was observed to be clean and free of hazards.The backyard has recreation games and a shaded sitting area...***Continued on Page 3*** There are no bodies of water on the premises, however licensee has purchased a jacuzzi with a hardtop cover with a lock and was not filled with water at the time of inspection. Licensee will install a five-foot fence prior to filling the jacuzzi. LPA reminded licensee of regulations pertaining to bodies of water and to contact assigned LPA Vanegas to formally advise of changes at the facility. LPA did not conduct client or staff file reviews as there were no clients in care at the time of inspection. LPA conducted one staff interview. Based on this annual inspection, there are no deficiencies cited at this time. An exit interview was conducted, and a copy of this report, LIC 811, and appeal rights were reviewed and provided to the licensee - Kenya Finnel.


summary: Facility Evaluation

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Narrative:
On July 14, 2025, at 01: PM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced inspection at the facility and met with Kenya Finnel. This inspection is to discuss records reviewed by LPA Charmaine Linley on June 26, 2025. LPA interviewed one Staff (S1), and one County Social Worker. LPA reviewed the facility documents. Refer to Confidential Names (LIC 811) dated July 14, 2025. On June 23, 2025, LPA Linley emailed Staff #1 (S1) requesting C1's Needs and Services Plan. LPA did not receive a response. LPA was at the facility on June 25, 2025, and requested C1's Needs and Services Plan. S1 could not locate C1's Needs and Services Plan. LPA asked S1 to email them a copy of C1's Needs and Services by the following day, June 26, 2025, and LPA did not receive C1's Needs and Services Plan. Confidential interviews confirmed C1 has not had a Needs and Services Plan since being placed at the facility. Based on confidential interviews and record review, the facility is being cited for a Type B violation of the California Code of Regulations, Title 22 83068.2(c)(1) Needs and Services Plan. Refer to LIC809D An exit interview was conducted, and appeal rights were reviewed with Kenya Finnel. A copy of this report, LIC 811, and appeal rights were provided to the facility.


summary: Facility Evaluation

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Narrative:
On August 5, 2025, at 10:15AM, Licensing Program Analysts (LPAs) Rachel Vanegas, Carissa Aviles, and Stefani Mutialu, arrived unannounced at Grace Upon Grace Small Family Home (SFH) for the purpose of conducting a case management visit. LPAs met with the Licensee - Kenya Finnell. On June 25, 2025, LPA Charmaine Linley arrived at the SFH for the purpose of interviewing Client 1 (C1), Staff 1 (S1), and Staff 2 (S2) regarding an incident that occurred on or around 03/21/25 and observed that one of the two minor clients in care had a biological infant child residing in the home. Licensee stated that the Licensee did not know if pregnant and parenting youth was part of the Plan of Operation for the SFH. Based on LPA interviews, observations, and records review the facility is being cited one Type B violation in accordance with California Code of Regulations (Title 22, Division 6) (CCR) Section 80022 (k) Plan of Operation for not operating in accordance with the terms specified in the facility Plan of Operation. An exit interview was conducted, a copy of this report, LIC 809D, LIC 811, and appeal rights were reviewed and provided to the Licensee - Kenya Finnell.


facility_name: GRACE WITHIN JOYCE

summary: Facility Evaluation

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Narrative:
On May 29, 2025 at 1:35 pm, Licensing Program Analyst (LPA) Charmaine Linley met with applicant Brandon Jones for Component II Orientation via Microsoft Teams Meetings. The following questions were discussed and answered: facility will not accept children with special health care needs and will update the relevant sections and licensee and staff will need to be cleared and associated in Guardian prior to the Pre-Licensing Inspection. LPA sent a copy of the LIC 184, LIC 281, Care Tools Pre-licensing form, and CRP PIN 24-09, to assist with the revisions needed to the application via email. A copy of this report was provided to the applicant along with the signed Orientation form indicating Component II has been completed via email. A copy of this report will be placed in the facility file.

met_with: Brandon Jones