summary: Facility Evaluation

raw_content:
Narrative:
On December 7, 2023 at 9: AM Licensing Program Analyst (LPA) Babatunde Aborchie, met with licensee Teresia Muathe, who led a tour of the home. The purpose of the visit was to conduct an annual inspection of the Ivyna's Small Family Home. The facility was toured inside and out with the licensee. Currently, there was one foster child in care. FC During this inspection, LPA and Licensee inspected the facility inside and out. The home consists of: Downstairs: Bedroom #1, It was furnished with one full bed. It currently sleeps one foster child FC1. There were also a family room, a living room, dining area and one bathroom. Upstairs: Bedroom #2, The room consisted of two twin beds. It was vacant . Bedroom #3, The room was furnished with two queen beds. It sleeps biological daughter age 13 and a staff. Bedroom #4, The room was furnished with a queen bed. It sleeps another biological daughter age 16 years. Bedroom #5, Master bedroom. The room consisted of one king sized bed. It sleeps the Licensees. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in a locked box in the pantry. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 118 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. A review of staff records on this date indicated that all facility staff had received criminal record and child abuse index check clearances. Facility staff was interviewed. FC1 was not at home during the inspection. In accordance with Title 22, Division 6, Chapters 1 & 4 there were no deficiencies being cited at this time. Exit interview was conducted and a copy of this report along with a Confidential Names List (LIC 811) was provided to licensee.

met_with: Teresia Muathe


state: CA

facility_name: IVYNA CARE

summary: Facility Evaluation

raw_content:
Narrative:
On June 11, 2025, Licensing Program Analyst (LPA) arrived at Ivyna care Small Family Home (SFH) for annual random inspection. Currently, there is one client in placement, age 4 years. The home is licensed to serve a capacity of four ambulatory disabled clients. The Facility was toured both inside and out with the licensee. The home is a two story building with five bedrooms and three bathrooms. During the inspection, LPA observed that the downstairs consisted of the kitchen, a living room, family room, the garage, a dining area with a large table and one bedroom. Bedroom #1 was occupied, and it consisted of two twin-size beds, it sleeps one ambulatory client. The medications were stored and locked in a locked plastic box storage located in the kitchen. Sharp knives were inaccessible and stored in a locked cabinet by the kitchen stove. The First Aid Kit was in the kitchen cabinet and contained all required items. The garage was inspected and used for cars. The water temperature was tested and measured at 112 degrees F. LPA observed a minimum of seven day non-perishable and a three day perishable supply of food. There was a variety of snacks available for clients. In addition to the downstairs space, there was also one full bathroom fully functioning and a closet used for storage beside the bathroom. A trash can was observed to have tight fitting lid. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. The clients' medication log records were kept updated with no discrepancy. One fire extinguisher was observed and operable. The upstairs was a bedroom #2, it was fully furnished with 2 twin size beds, closet and lots of storage spaces; it was vacant. Bedroom #3 was fully furnished with two queen size beds, it sleeps biological daughter, aged 15 years. Bedroom #4 was fully furnished with a queen bed, closet space, and lots of storage spaces. It sleeps another biological daughter aged 17 years. Bedroom #5, Master bedroom. The room, consisted of one king sized bed. It sleeps the Licensees. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. . The upstairs space includes a laundry room, cleansers/chemicals were locked and stored in the laundry room that always remains locked, an additional bathroom used for the clients. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. There were no guns or weapons in the home as stated by Licensee. There was a total of three cameras, all located outdoor which meet the title 22 camera policy. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Client's files files were reviewed and found to comply. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, and a copy of this report was discussed and provided to Licensee.

report_type: Facility Evaluation

visit_type: Annual

met_with: Licensee


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
October 3, 2025, where C1 was officially seen. Another confidential interview stated that foster parents made sure that C1's medical needs were met but was unaware of the last time C1 received medical test (lab work). Based on confidential interviews and a review of pertinent documents, the allegation that a licensee does not ensure to follow up on C1's medical needs may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, a copy of this report, LIC811 and appeal rights were provided to licensee Teresia Muathe.

Investigation Findings:
13On November 7, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Ivyna Care Small Family Home (SFH) and met with licensee Teresia Muathe to deliver the finding for the above stated allegation. On September 29, 2025, Community Care Licensing received complaint alleging that licensee does not ensure to follow up on minor's medical needs. On October 1st, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed licensee (LS), staff (S2), biological child 1 (BC1), and attempted to interview client 1 (C1). During confidential interviews, it was reported that C1 had gone to the clinic to get lab work done a couple days prior and C1 was unable to be seen due to C1's behavior of being too hyper, aggressive, and unable to settle down for doctors to move forward with the process. Another confidential interview stated that even though C1 was unable to get lab work done that day, C1 was taken in for a walk in appointment on UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: IVYNA CAREFACILITY NUMBER: VISIT DATE: 11/07/2025

report_type: Complaint Investigation

met_with: Licensee- Teresia Muathe

complaint_status: unsubstantiated


facility_name: JAMES NJANJU SFH

summary: Facility Evaluation

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Narrative:
On February 4th, Licensing Program Analyst (LPA) Maryjane Perez met with applicants James Njarju and Patricia Ngechu this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed for the application. A copy of this report was provided to applicants James Njarju and Patricia Ngechu.

met_with: Applicants- James Njarju and Patricia Ngechu


summary: Facility Evaluation

raw_content:
Narrative:
On March 7, Licensing Program Analyst (LPA) Maryjane Perez arrived at James Njanju Small family Home for a pre-licensing inspection for an initial license. LPA met with applicants James Njanju and Patricia Ngechu who led a tour of the entire home inside and out. Currently there are no children placed in the home. The applicants are applying to serve 2 children ages 0-17 years old. The home is a two-story building with 4 bedrooms and 3 baths. The downstairs consisted of an entry way with an office area that has a computer, printer and books. There was bedroom #1 that will be utilized for foster children and has a queen size bed with required bedding and dresser/ closet space. Bathroom #1 was fully functioning with water temperature reaching 114.6 degrees Fahrenheit. Trash cans in the bathrooms did not have lids. There was a storage closet storing first aid kit with all required elements as well as other supplies such as masks, nebulizers, and toys/games. There was a fully furnished living room with couches, TV, desk, and fire place that was properly screened. The kitchen was clean and sanitary with locked sharps/knives. The cleaning supplies under the sink were not locked. The pantry and refrigerator were fully stocked with perishable and non perishable foods. There was also fire extinguisher #1 next to the evacuation plan, visitation policy and personal rights that were posted. The laundry room had extra towels and a cabinet storing detergent that needs to be locked. The upstairs consisted of bedroom #2 that was for applicants biological sons that had queen size bunk beds and fully furnished. There was bathroom #2 that had two side by side sinks and were fully functioning. There was also bedroom #3 that was for applicants biological daughter and was fully furnished with a queen size bed. The hallway had cabinets storing extra towels, blankets, and linen. There was also another first aid kit and fire extinguisher #2. The master bedroom was accessible to clients and had a locked mini refrigerator that will store clients refrigerated medication. The master bedroom also had a cabinet that will store client files, client medication, cash resources, and personnel records that applicants will obtain a lock for. Inside the master bedroom there was bathroom #3 that had locked drawers storing medication but there was a missing lock on the cleaning supplies cabinet. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. As stated by applicants, there were no weapons/firearms and there were no pools or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. The garage was free of hazards and had double garage doors front and back. However, the garage had a cabinet storing chemicals/ poisons that needs to be locked. Based on this inspection of the home, the facility will need the following corrections: A lock box for cash resources (4) Locks for master bedroom bathroom cabinet, kitchen sink cabinet, laundry cabinet, and garage cabinet Trash cans need tight fitting lids in bathrooms After corrections are completed, the applicant will notify LPA so that another inspection can be completed. Component III orientation was also completed this day of March 7, Exit interview conducted and a copy of this report was discussed and provided to applicants James Njanju and Patricia Ngechu

visit_type: Prelicensing

met_with: Applicants- James Njanju and Patricia Ngechu


facility_name: JANE AND EDGAR NGOTHO SFH

summary: Facility Evaluation

raw_content:
Narrative:
On May 1, 2025, at 9: AM, Licensing Program Analyst (LPA) Claudia Portillo conducted an announced pre-licensing inspection and Component III meeting at Jane and Edgar Small Family Home (SFH). LPA Claudia Portillo met with Administrator, Jane Nghoto and toured the home. Physical Plant This facility is located in a quiet residential community. The facility consists of three bedrooms (3) bedrooms, three (3) bathrooms, kitchen, dining area, laundry room and a 2-car garage, and a backyard. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. Fixtures, Furniture, Equipment, and Supplies The home has toilets and wash basins for clients' use. Client bedrooms was observed to be clean, orderly, and contained twin beds. LPA observed clean pillows, bed sheets and blankets. The client's bedroom has adequate closet and drawer space to accommodate client's clothing and personal belongings. Heath Related Services and Record Keeping The first aid kit will be centrally stored in the kitchen. The kit contains all required supplies. The client, staff files will be in a locked file cabinet located in the staff's bedroom. The medication will be stored in a locked cabinet in the kitchen. A Component III meeting was also conducted to familiarize the applicant with SFH Rules and Regulations as well as best practices. The purpose of the Component III is also to prepare the applicant on how to maintain and operate their facility and provide information to avoid potential problem areas. A copy of the SFH Component III handout was provided. Prior to being licensed the following are still pending: -One staff living in the home fingerprints are still pending LPA Portillo will mail a new license once staff's fingerprints clear. An exit interview was conducted, and a copy of this form was emailed to the Administrator.

met_with: Jane Ngotho


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2025, Licensing Program Analysts (LPA) Claudia Portillo conducted an unannounced inspection at the Small Family Home (SFH) facility and met with the licensee. The purpose of the inspection was in regard to a post licensing visit. This SFH is licensed to serve 1 ambulatory and 2 non-ambulatory children who have mental health disabilities, developmental disabilities and physical disabilities. There are currently no children in care. Physical Plant This facility is located in a quiet residential community. The facility consists of three bedrooms (3) bedrooms, three (3) bathrooms, kitchen, dining area, laundry room and a 2-car garage, and a backyard. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. The bedrooms are ready for future placement and in compliance with all regulations. An exit interview was conducted, and a signed copy of this report was provided to the facility representative along with LIC 809 report.

met_with: Edgar Ngotho


facility_name: JENNIFER & PETER SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On June 6, Licensing Program Analyst Kayla Green conducted an announced pre-licensing facility inspection and met with and announced the reason for the inspection. Jennifer Maina and Peter Ngure Licensee's assisted with the inspection. LPA and the Licensee's conducted a joint inspection of the interior and exterior areas of the facility's physical plant. The small family home is requesting to be licensed for a capacity ages 0 to 17 years old. There were no clients in care at the time of the inspection. Clients with Special Health Care Needs (SHCN) could be admitted. The home is a one story home. The home consists of four bedrooms, three bedrooms for clients and the master bedroom licensee's live in. There are two bathrooms, a garage, and a backyard with a swimming pool. The home has a home security alarm system installed, there is one camera on as part of the door bell on the front door. The front and back yards were free of clutter; and the passageways were unobstructed. No potentially hazardous items or areas were observed. The backyard contains a swimming pool, a bbq, a seating area with a table and multiple chairs, gazebo to shade from the sun. Pool fencing surrounding the pool was of adequate height, had a self-closing and latching gate, and was within regulation. Continued on C LPA observed that the bedrooms had a single bed and bedding including mattress cover, fitted sheet, top sheet and blanket, desks with drawers for personal items, night stand, and ample closet area. The living room consisted of one couch and a television, a fireplace that is gated, and a shared sitting area/activity area consisted of two couches, and coffee tables. The facility had a working land line and the phone was located in hallway on the back counter. LPA also observed activity supplies in the living room, including a books and toys. There was one bathroom which was observed to be in working order near the bedrooms and was equipped with a shower and a shower curtain for privacy. The bathroom had a working toilet, shower, and sink faucet. The second bathroom was located in the master bedroom at the rear of the hallway in the home and was observed to have a bathtub, working toilet, bath faucet and sink faucet. The water temperature was measured to be at 105 degrees Fahrenheit. The bathrooms contained soap and paper towels for hand washing. The hallway closet outside of the bathroom contained extra towels and wash cloths. LPA observed that the dining area was off of the kitchen and the table was set up for placement of five and contained five chairs. LPA observed that the kitchen area was located off the dining and living room area of the facility and that the kitchen area had the stove, refrigerator, and oven. The pantry was located off of the kitchen in the hallway, and one next to fridge with no locks on the doors. The facility will ensure that the pantry and kitchen are stocked with ample food prior to accepting placement of clients. continued on 809-c LPA observed a working Carbon Monoxide detector in the hallway and in dining room and working smoke alarms in each bedroom, the dining area, and a living area. LPA observed that there was three fire extinguishers one in the kitchen,laundry room and one outside for the bbq. The fire extinguishers were charged and last inspected in May 2024. The facility was clean, safe, sanitary and in good repair. All reviewed elements of physical plant of home are compliant with Title Regulation and Health and Safety Codes. The program statement and application are complete and approved. The facility is prepared for licensure and pending Licensing Program Manager's Approval. An exit interview was conducted with Jennifer Maina and Peter Ngure, Licensess and a copy of this report was left with Jennifer and Peter Licensess.

met_with: Jennifer Maina and Peter Ngure- Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 6/27/ Licensing Program Analysts (LPAs) Jean Stidman and Kayla Green met with Jennifer Maina and Peter Ngure licensee's for the purpose of a Component III. LPAs reviewed Incident Reporting Requirements, Medication Administration documentation, background clearance documentation, Physician's Reports, required records for staff and children, Provider Information Notices (PINs), Compliance and Regulatory Enforcement Tool (CARE), examination for communicable tuberculosis, and Inspection Authority, LPA's provided technical assistance on organization of facility files, using CCLD website for forms needed and Title 22 regulations, exception requests for clients turning 18. LPAs reviewed the different type of citations or technical advisory notes that can be given. Exit interview conducted and a copy of this report was left with Peter Ngure.

visit_type: Case Management

met_with: Jennifer Maina and Peter Ngure


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced post inspection on January 29, 2025 at 10: AM. During the inspection LPA Martinez met with Peter Ngure who assisted with the inspection. During today's post inspection, there was one youth present. In addition, two staff and the Licensee were present during the inspection. LPA Martinez conducted a tour and inspection of the physical plant on January 29, 2025 with Peter Ngure. The facility License is located at the living room and personal rights poster is located at the hallway. Both postings are made available and are visible to visitors and youth.Refrigerator temperature at 35 degrees F. The Freezer Temperature at 0 degrees F. The facility has a seven day nonperishable food supply, and a two day perishable foods supply. The facility has a menu present and posted. The facility has a supply of utensils and dishware. The sharp knives were locked and made inaccessible to youth in care. The facility water temperature measured at 106 degrees. The facility temperature measured at 73 degrees. The carbon detectors, smoke detectors, and fire extinguishers were in good repair. Facility cleaning supplies, and toxins were stored in a locked cabinet and made inaccessible to youth in care. The facility was furnished and sanitary, and has a working telephone. All bedrooms were furnished and in good repair. The dinning area was furnished, and the dinning table and chairs were in good repair. The living room area was furnished, and the furniture was in good repair. Continued... Facility bathrooms were in good repair sanitary. The exterior of the home was clear of debris and the emergency exit gate was in good repair. The facility swimming pool was gated and the gate was locked, and the pool was made inaccessible to youth in care. LPA Martinez inspected facility vehicle and reviewed car insurance and registration documentation. The vehicle is in good repair. LPA Martinez will return at a later time and date to complete the post inspection. An exit interview was conducted, and a copy of this report was provided to Peter Ngure.

met_with: Peter Ngure


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced post inspection on February 14, 2025 at 9: AM. During the inspection LPA Martinez met with Jennifer Ngure who assisted with the inspection. At arrival LPA Martinez, was met at the door by Jennifer Ngure. LPA Martinez was informed all staff were taking child 1 to a required medical appointment. LPA Martinez will return at a later date to complete post inspection. LPA Martinez will return at a later time and date to complete the post inspection. An exit interview was conducted, and a copy of this report was provided to Jennifer Ngure.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced post inspection on March 05, 2025 at 11: AM. During the inspection, LPA Martinez met with Peter and Jennifer Ngure who assisted with the inspection. During today's post inspection, there was one youth present. In addition, two staff and the Licensee were present during the inspection. LPA Martinez conducted a tour and inspection of the physical plant on January 29, 2025 with Peter Ngure. LPA Martinez reviewed files at today's visit. The following deficiencies were cited: fire clearance and client records. Based on records review, the facility is operating beyond the conditions and limitation and capacity specified on the approved licensed. C1 is non-ambulatory and the facility is licensed for ambulatory only. In addition, child 1 (C1) is missing an admission agreement and a signed LIC 602 physician report. The facility has training records and employee records, which they are maintained. Based on the this post inspection, LPA Martinez will continue to follow up with the facility and plan of corrections. In addition, LPA Martinez will continue to follow up with fire clearance status, and follow up on C1's placement status due to fire clearance. As a result of this post inspection visit, the following deficiencies were cited, per California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted with Peter Ngure, and a copy of this 809 report, 809-D page, and appeals rights were given to Peter Ngure.

met_with: Peter and Jennifer Ngure


summary: Facility Evaluation

raw_content:
Narrative:
On March 21, 2025, at 9: AM, Licensing Program Analyst (LPA) Avelina Martinez arrived at facility unannounced to conduct a plan of correction (POC) visit. LPA Martinez met with Jennifer Ngure explained the purpose of the visit. This POC visit is to clear citations from the following date: March 05, 2025. The citations are the following: client records and Limitations on Capacity and Ambulatory Status. During the March 21, 2025, visit, the LPA reviewed the following deficiency: Client Records 80070(b)(6)(8. The deficiency was cited on the day of March 05, 2025 visit. Moreover, LPA Martinez requested the following to be corrected by March 26, 2025 and the plan of action term submitted to Community Care Licensing by: 5: PM. However, the Licensee completed the POC prior to March 26, 2025. As a result, LPA Martinez conducted the POC visit prior to March 26, 2025. LPA Martinez toured the home with Jennifer Ngure, and discuss the facility capacity limitation. Licensee has modified the facility sketch to obtain non-ambulatory fire clearance. LPA Martinez obtained a facility sketch during today's visit, and fire inspection is pending. Based upon this inspection, LPA Martinez reviewed child 1 (C1) facility file. The Medical file was complete. The deficiency cited has been cleared. Licensee complied with the terms of the plan of correction and corrected the deficiency by plan of correction due date. Limitation of capacity POC has been completed, and LPA Martinez will continue to follow up on fire inspection and clearance. An exit interview was held, and a copy of this report was provided to Jennifer Ngure.

met_with: Jennifer Ngure


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced Annual inspection on July 21, 2025 at 9: AM. During the inspection LPA Martinez met with Jennifer Ngure (Licensee) who assisted with the inspection. LPA Martinez explained the purpose of the visit to Jennifer Ngure (Administrator). LPA Martinez conducted a walk-through of the facility inside and out with Jennifer Ngure (Administrator) on July 21, 2025. Facility staff-client ratio at time of inspection: two staff and one child. LPA Martinez observed four bedrooms and two bathrooms. Posting of license x Personal Rights x Disinfectants/Cleaning solutions inaccessible x Refrigerator Temperature at or below 45 degrees F x Freezer Temperature at or below 0 degrees x Nonperishable Foods one week and fresh perishable foods two days minimum x Menu present and posted x Working telephone x Carbon monoxide detectors x Smoke Detector x First Aid Kit fully stocked x Common Room available x Dining area (enough seating, furniture good condition, not broke or damaged) x Medication centrally stored, locked/inaccessible x Office (locked and privacy) x Hot Water 105 degrees Fire Extinguisher Last inspected on May 09, 2025. Smoke detectors and carbon detectors were in good repair. All above areas were inspected and in compliance. Continued... Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature X Soap and Paper towels X Laundry Facilities(available, work assign dates) X Bedrooms- required linen and furnishings X Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts X Facility free of vermin X Locked Facilities (open locked storage area/building/sheds) bedrooms (required bedding/furniture, furniture in good repair) X Pool is gated and locked and made inaccessible X All above areas were inspected and in compliance. LPA Martinez will return at a later date and time to conduct a continuation annual inspection. The continuation annual inspection will consist of a completion of file reviews. An exit interview was conducted with Jennifer Ngure (Administrator). A copy of this report was provided to Jennifer Ngure (Licensee). There were no citations given at this annual inspection visit.

met_with: Jennifer Ngure (Licensee)


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Avelina Martinez made an unannounced continuation annual inspection on August 08, 2025 at 10: AM. During the inspection LPA Martinez met with Jennifer Ngure (Licensee) who assisted with the inspection. LPA Martinez explained the purpose of the visit to Jennifer Ngure (Administrator). During this continuation annual, LPA Martinez conducted a file review. Facility staff-client ratio at time of inspection 1 staff and 1 child. Disaster Preparedness Disaster and mass casualty plan updated and available Quarterly Drills conducted and documented Disaster preparedness supplies verified: Completed-Last Fire Drill 06/30/ Staffing/Volunteers Number of Staff files reviewed X Criminal record clearances verified X First Aid Certificate X Certified Administrators certificate valid and current X Job title/qualification verified X Hours required training verified X Hours required annual training verified X Continued... Client Records Number of Clients files reviewed Needs and Services Plan X Centrally Stored Medication and log reviewed X JV Reviewed N/A Psychotropic Medication and log reviewed NA Cash Resources NA Compatible Assessment Yes, Census Core/Therapeutic Services Trauma Informed Practices are implemented as needed (including specialty mental health services and extracurricular activities and social supports) Yes Special Health Care Needs (SHCN) SHCN plan created by licensed professional and implemented as required Yes Staff received training Completed An exit interview was conducted, and no deficiencies were observed during this annual inspection. A copy of the report was provide to Jennifer Ngure (Licensee).


facility_name: JETERS HOUSE OF VALUES

summary: Facility Evaluation

raw_content:
Narrative:
On September 4, 2025, at 10:15 am, Licensing Program Analyst (LPA) Charmaine Linley, met with applicant Jeanice Jeters for Component II Orientation for a Small Family Home. The following questions were discussed and answered: Applicant stated their computer crashed and they are unable to retrieve their original documents. LPA will follow up with Licensing Program Manager (LPM) to ask about giving copies of the documents to the Applicant. Applicant stated they will take four training's from the list identified in the regulations and will provide the training certificates along with the revisions. Applicant will contact LPA prior to September 18 if they need additional time to submit the revisions. LPA sent a copy of the LIC 184, LIC 281, and CRP PIN 24-09, to assist with the revisions needed to the application via email. Submit the Section A and B documents in the same sequence as they are in the application booklet (LIC 281). A copy of the revised documents are due to the Riverside Office before 5:00 pm on September 18, 2025. The following areas were covered, including the revisions that need to be corrected: Overall Notes:  Remove Tele-Orientation Guide as cover sheets.  Submit the Section A and B documents in the same sequence as they are in the application booklet and identify with a cover sheet or at the top of the individual sections.  When submitting revisions, do not staple, tape, or paper clip any pages or place the documents in a binder or in page protectors.  Remove references to foster home, a Small Family Home is not a Foster home. *** Section A Documents: A1. Application (LIC 200):  #8, alternative public phone number needs to be rewritten so it is clearly read.  #14, days of operations needs to be filled out.  #15a, Address and Phone Number of Property Owner needs to be filled out.  #16 is incorrect.  #19 is not the correct licensing number.  After all updates are made, resign with an original or electronic signature and date the form. A2. Applicant Information (LIC 215):  Education: provide a clean copy without areas "crossed out."  References: Provide a second reference.  Provide training certificates in the topics specified below. We encourage applicants to carefully evaluate the training topics if you are taking the trainings through the Foster Parent College as the topics listed below are not designed for Foster Parents or Foster Homes: (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 A3. Applicant Information (LIC 308):  A licensee cannot designate themselves on this form. If you are not designating another individual on this form, you do not need to fill out this form. *** A5. Affidavit Regarding Client Cash Resources (LIC 400):  Provide an explanation of how the facility will not handle cash for the clients as all clients will be receiving an allowance from the facility and Regional Center consumers have Personals and Incidentals Money. A6. Surety Bond (LIC 402):  LPA will review if a bond is needed once the information is provided regarding handling clients money. A9.a Budget Information (LIC 420):  Loans stated $3573.00, however lease form indicates lease is $3536.00, indicate why the amounts are different. A10. Personnel Report (LIC 500):  Correct last name spelling error.  Fill out date employed.  As a reminder, Small Family Homes are not required to have Administrators or staff members as the regulations state the licensee shall be regularly present in the home when children are in the home full time. A12. Health Screening Report - Facility Personnel (LIC 503):  Duty Statement needs to be filled out.  Date of Health Screening needs to be filled out.  Form with original signature needs to be returned. A14. Emergency Disaster Plan (LIC 610C):  Full name of facility needs to be filled out in all sections.  Facility Address is in the wrong section, move to correct section.  Remove "crossed out sections," and provide a clean copy.  Section II: Emergency Names and Telephone Numbers, provide the name and phone number of the Police or Sheriff.  First Aid Kit/Location needs to be filled out.  Individual homes and other licensed facilities cannot be used. Facilities need to indicate two temporary relocation sites. ***  Indicate two relocation sites away from the facility that are able to accommodate the number of clients/children in the facility.  Provide two letters from the relocation sites managers/owner stating they are able to accommodate the number of clients in the facility with a printed name, along with their signature.  Form with original signature needs to be returned. A15. Facility Sketch (LIC 999):  Will the facility use video cameras. If so, the information below must be provided.  An original copy of the Facility Sketch must be provided.  Sketch must give dimensions of all rooms and designate their use not state, "room, fc/fc."  Designate rooms to be used by non-ambulatory child.  The number of clients in each bedroom needs to be identified.  Indicate exit routes by number as shown on the LIC 610/LIC 610A Emergency Disaster Plan.  Indicate all driveways, fences, storage areas, gardens, recreation areas and other space used by clients/residents. If the facility will have Video Cameras (including Ring doorbell/outside cameras) the information below needs to be provided: (1) Where video cameras are - or will be - located, include on the Facility Sketch. (2) The purpose of the video cameras. (3) How children and authorized representatives will be informed of the location of video cameras and their purpose. (4) How licensees will work with placing agencies to address situations in which a child objects to video cameras. (5) How video cameras will be used in a trauma-informed manner. (6) Whether video cameras will be livestreamed only or recorded. (7) If recorded, who will have access to the recordings and how will the recordings be stored and safeguarded. *** A16. Fire Inspection (LIC 9054):  Has the Fire Department contacted you to schedule the inspection? Section B Documents: B7: Facility Program Description:  This section needs to be identified correctly.  Remove references to licensed foster care home.  Remove all references to foster care settings.  Remove all references to foster parents.  Remove Program Statement as Small Family Homes do not have a Program Statement, they have a Plan of Operation (B Section from the LIC 281).  Ages are inconsistent with what is listed on the LIC 200 that you will accept one child (0-5 years of age) and three children between the ages of 6-17.  Provide a statement of the purpose, goals and program methods (program philosophy) that is specific to Small Family Homes.  Provide the days and hours of operation in this section.  General Services provided needs to reflect services provided in the Small Family Home. Remove Title 22, Division 6, Chapter 9.5 as these regulations apply only to Foster Family Homes.  The daily schedule of activities to be provided by the facility should state who plans, conducts and assists clients in participating in these activities.  The one month schedule of planned social, educational and recreational activities list is different than the actual calendar. The schedule should state who plans, conducts, and assists clients in participating in these activities.  Provide a description of the basic services provided by the facility as listed in the admission agreement.  Provide a description of the optional services provided in the facility as listed in the admission agreement.  Provide a description of how the facility is going to handle medical emergencies if a client becomes ill or injured, not just calling 911. Medication (areas listed below need to be in this section):  Describe the specific procedure for handling and assisting clients/residents with self-administered medications. ***  Describe what medical forms will be used. For reference, see the Centrally Stored Medication Record and Medication Administration Records listed on CCL's website that can be used.  Indicate specifically where the medication will be stored.  Describe the medical Assessment/TB Test prior to or within 30 days of acceptance and where the document will be stored in this section.  Describe where first aid supplies and a current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency will be stored in this section.  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 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.  Describe the use of Psychotropic Medication Administration Records (PMAR LIC 622B) and how a separate log for each psychotropic medication prescribed to the child is used.  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. Transportation arrangements:  Describe how the motor vehicles used to transport clients shall be maintained in a safe operating condition.  Describe how the licensee and their staff are prohibited from smoking a tobacco product, or permitting any person from smoking a tobacco product in a motor vehicle that is regularly used to transport children, regardless of when the children are present. This prohibition applies when the motor vehicle is moving or at rest. ***  Describe how the licensee shall provide transportation for a child in a timely manner to and from the following: (1) Health-related services. (2) School. (3) Extracurricular, enrichment, cultural, and social activities, in accordance with the reasonable and prudent parent standard.  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.  Provide a list of community resources and a list of consultants to be used by the facility that is specific to the children placed in the facility.  Describe the procedure for the facility's immediate response to incidents and reporting incidents to CCL.  Describe the facility's complaint/grievance procedure for clients issuing a complaint/grievance against the Facility/Licensee and where the procedure will be posted. Describe the timeframes including how to submit a grievance/complaint, who responds, the timeframe of the Licensee to respond, how the outcome is documented, where the procedures are documented in the Facility. B8: Rules of Discipline/Personal Rights:  Remove the regulation of Personal Rights reference Section 84072, this regulation is for Group Homes. Small Family Homes follow Title 22, Section 83072.  Remove the form Your Rights as a child in Foster Care, you can update this form with providing the Personal Rights Form LIC 613B.  Provide a statement that discipline does not include a violation of personal rights.  Describe the conditions for each type of discipline that will be used.  Provide more information on removing electronics, are these the youth's electronics or the facility shared electronics? As a reminder, belongings cannot be removed from the clients unless they are written into a Needs and Services Plan with the reason and the Needs and Services Plan is signed off.  Describe the grounds for planned/unplanned discharges, remove the word "dismissal," and "terminated."  A clear statement that there will be no corporal or unusual punishment used.  Describe how the child will sign the personal rights form at intake and each time a new right has been added. ***  Provide a copy of the discipline policy that the client and Authorized Representative will sign in this section. Describe how the client will sign this form and where it will be stored. B9: Admission Policies:  Provide the Admission Agreement in this section.  As a reminder, the LIC 604 is a Guide and is not to be used as the Admission Agreement.  Describe specifically the children accepted for care in this section.  Describe how you will use the criteria for assessing the appropriateness of placement given an individual client's needs (i.e., interviews, procedures for obtaining and developing the necessary paperwork, etc.). The section is too vague and needs to be more specific.  Needs and services plan, remove the statement a child will have input if appropriate, you could indicate something along the ages of infant/toddler, but this statement is too vague.  Describe how clients and Authorized Representative will be included in any updates or modifications to the Needs and Services Plan and how they will sign off.  Provide a statement that clients/residents will be informed of their rights and that client's/resident's rights will not be violated in this section.  Describe how the facility will obtain emergency information in this section.  Provide a specific allowance amount and how often is given out in this section. B10: Sample Menu: The sample menu will include:  This form states children from ages 5-16, which are not the ages indicated on the LIC 200. All ages in all sections must be the same as indicated on the LIC 200.  Provide the portion sizes of all meals/snacks.  Provide the times meals/snacks are served. B11: Control of Property:  Letter from Invitation Homes needs to be provided authorizing Jeanice Jeters to operate a Small Family Home at the property. ***  A letter from Janyi Walkins needs to be provided authorizing Jeanice Jeters to operate a Small Family Home at the property as they are listed on the rental agreement.  A letter from Risha Miller needs to be provided authorizing Jeanice Jeters to operate a Small Family Home at the property as they are listed on the rental agreement. B12. Bacteriological Analysis of Private Water Supply (When Water for Human Consumption is from a Private Source):  This section is missing. A statement needs to be provided with the Section Number indicated according to the LIC 281. B16. First Aid Card:  Need a CPR/1st Aid card, current copy states eligible for skills session in 90 days. A copy of this report was provided to the applicant along with the signed Orientation form indicating Component II has been completed. A copy of this report will be placed in the facility file.

met_with: Jeanice Jeters


summary: Facility Evaluation

raw_content:
Narrative:
On the date listed above, Licensing Program Analyst (LPA) Charmaine Linley conducted Component III for Small Family Homes with Applicant, Jeanice Jeters. A copy of this report was emailed to the Applicant for signature, along with the signed Orientation certificate. A copy of this report will be placed in the facility file.


summary: Facility Evaluation

raw_content:
Narrative:
On March 11, 2026, at 9:00 am, Licensing Program Analyst (LPA) Val Wilson arrived at the home to conduct a pre-licensing inspection of the facility. LPA met with applicant, who led a tour of the facility. The facility was toured inside and outside and there were no clients in placement and no firearms in the home. The facility is a two-story building with four bedrooms and three bathrooms which are set up as follows: Downstairs: Entryway, living room, fireplace with a metal screen and a second glass covering, formal dining room, kitchen dining area, kitchen, kitchen breakfast bar, family room, closet storage, office, laundry room, applicant locked bathroom #1, and garage. Upstairs: Stairwell, master bedroom #1 with bathroom #2 and fireplace with a metal screen and a second glass covering, hallway linen closet, client bedroom #2, licensee's children bedroom #3, client bedroom #4, bathroom #3. Outdoors: Garage with door exits to the side breezeway where the electrical panel and gas meter are located; unlocked rod iron gate, fencing surrounds the backyard, river rock filled pond that no longer has water, covered patio, outdoor furniture, barbecue island, and plenty of open activity space. The front yard is mostly paved like the driveway. There is a non-functioning camera on the garage eve and the front doorbell. The client's bedrooms were arranged so that no more than two clients will be in a room. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There was adequate closet and drawer space for the client's belongings. LPA observed a three-tier bunk bed in bedroom #3. Bedrooms #2, #3 and #4 have permanent closets and adequate drawer space. Each bed has a quilt, two sheets, and a mattress pad. *** ***PAGE 2*** The hot water in the laundry room was measured and registered at 117.7 degrees, which is within the regulatory requirements. Disinfectants, cleaning solutions, poisons, sharps, and other items that could pose a danger if readily available to clients are stored in the locked supply closet downstairs. There was adequate food storage space in the kitchen. LPA observed a three-day supply of non-perishable food and a filled fruit basket on the kitchen table. The menu is posted on the kitchen refrigerator; However, the sample menu did not account for the morning, afternoon, and evening snack. This will need to be updated. The home appliances were checked and in working order at the time of this inspection. The high-back dining room table has four chair stools and a bench in the kitchen. There is also a breakfast bar located in the kitchen with two chair stools. Provided tableware, dishes and utensils are of the quantity necessary to serve the clients. A trash can for storage of solid waste had a tight-fitting lid and was present in the kitchen. There is a cordless telephone with charging base available in the kitchen area. There was one fire extinguisher present in the home located in the family room near the kitchen and it was observed to be properly charged and inspected by the fire department. The home's First Aid kit was accessible and is located in the kitchen with required supplies. There was one fire extinguisher present in the home located in the family room near the kitchen and it was observed to be properly charged and inspected by the fire department. Functioning carbon monoxide detectors were located in the downstairs entryway and upstairs hallway. Functioning smoke alarms are located upstairs in bedroom #1, #2, #3, and #4. There is a smoke alarm also located at the top of the stairs on the vaulted ceiling that could not be tested. Downstairs functioning smoke alarms are located in the entryway and in the office. The home is equipped with an ADT chime system that alerts when downstairs door or windows are open. The hot water heater is located in the garage. The Plan of Operation is located in the staff office. There is file storage to maintain complete records and a scanner/printer for use in the office area. The medications will be located in a locked downstairs office in a medication box and/or medication refrigerator. Cash resources can be locked in the lock box in the office. The following forms were posted in the office hallway: Grievance Procedure, LIC 610/Emergency Disaster Plan, Facility sketch, Complaint hotline, Discipline Policy, and Monthly activity calendar. Toys, video games and board games are located downstairs in the family room. *** ***PAGE 3*** During the inspection LPA observed tiling is missing on the step from the entryway towards the kitchen hallway and the window screen in the kitchen corner by the table has a missing square of screening. LPA also observed chipped paint and punctures noted throughout the home: kitchen area, breakfast bar, dining area, downstairs entryway, hallways, door jambs and baseboards surrounding the sink in the laundry room, the stairwell, upstairs hallway, bedroom #2 #3 #4, and bathroom #3. The following corrections need to be made to the home: • Update sample menu with morning, afternoon, and evening snack. • Remove and replace the three-tier bunk bed in bedroom #3 for the applicants two children. • Repair the missing tile on the step from the entryway towards the kitchen hallway. • Repair the window screen in the kitchen corner. • Repair chipped paint and punctures noted throughout the home: kitchen area, breakfast bar, dining area, downstairs entryway, hallways, door jambs and baseboards surrounding the sink in the laundry room, the stairwell, upstairs hallway, bedroom #2 #3 #4, and bathroom #3. Applicant was reminded to notify LPA when all corrections have been made for a follow up inspection. Once all corrections have been cleared, a Licensing Program Manager will review the application and this report. Once approved, the Facility License will be printed out and emailed to the applicant. LPA reminded the applicant that once they have received their license, they will then need to notify LPA upon their first placement. An exit interview was conducted, and a copy of the report was provided to Jeanice Jeters. A copy of this report will be placed in the facility file.


facility_name: JOHNSON FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On June 24, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Amy Johnson this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant Amy Johnson.

met_with: Applicant Amy Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On July 23, Licensing Program Analyst's (LPAs) Maryjane Perez and Cynthia Ramos arrived at Johnson Family Home Small Family Home (SFH) for a pre-licensing inspection for an initial license. LPAs met with applicant Amy Johnson who led a tour of the entire home. Currently there are no children placed in the home. The applicant is applying to serve three ambulatory children ages 6-17 years old. The home is a two- story building with four bedroom and three bathrooms. The downstairs consisted of an entryway that leads to the formal living room with two couches. LPAs observed the Emergency Plan, Facility Sketch, Personal Rights and Visitor Sign in at the entrance. Behind the formal living room there is a laundry room which contained cleaners/chemicals and locked medication box, this room is locked at all times. Bedroom #1 is designated for future foster children, LPAs observed two twin beds with adequate bedding, TV, closet space, dresser space and lighting. Bathroom #1 was observed to be clean and organized. Water temperature was measured at 106.7 degrees F. There is also a family room with a TV, seating, desks, toys and a screened fireplace. A land- line was also observed to be working and accessible to clients. Next to the living room, there was a kitchen which was clean and organized, there was a locked box for cleaners under the sink. The fridge was inspected and there was a at least three days of perishable and seven days non-perishable foods. One of the fire extinguishers was located downstairs in the kitchen with a complete first aid kit. Next to the kitchen there was a play area with plenty of toys, extra food and high chairs. There was also a linen closet with extra household items. In the upstairs of the home, there was bedroom #2 that was the Master bedroom which sleeps Applicant and husband, office and Bathroom #2, per Applicant this room will remain locked at all times. The upstairs also consisted of a loft with additional couches, TV and games. A second fire extinguisher was also observed in the loft. Bedroom #3 will be utilized for one foster child and one biological child, this room consisted of 2 twin beds with required bedding, dresser, closet space and lighting. Bathroom #3 consisted of dual sinks, clean and had a trash can with tight fighting lid. Bedroom #4 contains a queen bed that is currently used for biological child. In the hallway, there was an additional closet space with extra linen and extra comforters. The carbon monoxide and fire alarms were tested and were working properly. LPAs observed there to be security cameras inside and outside the home. There was four security cameras throughout the house in the common areas and four security cameras outside the home. The backyard was inspected and was free of hazards with accessible space for children to play. The garage was a three car garage that will remain locked at all times, there was an additional freezer with food and extra household items that were observed. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. All hazardous items have been properly made inaccessible to areas where clients/children will have access. As stated by applicant, there were no weapons/firearms and there were no pools or other bodies of water. There are no corrections needed at this time. Based on this inspection, the home is appropriate for a capacity of three ambulatory clients. The request for licensure will be forwarded to Licensing Program Manager for final approval. Component III orientation was also completed this day of July 23, 2025. An exit interview was conducted. A copy of this report was provided to applicant Amy Johnson

met_with: Applicant- Amy Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On April 20, Licensing Program Analyst (LPA) Cynthia Ramos arrived at Johnson Family Home Small Family Home (SFH) for the purpose of conducting a post licensing inspection. LPA met Licensee Amy Johnson who led a tour of the entire home. There are two children placed in the home at this time. The home is a two- story building with four bedroom and three bathrooms. Upon entering the home, there was a formal living room and dining table. Behind the formal living room there was a laundry room which contained cleaners/chemicals, this room is locked at all times. There was also a family room with a TV, properly screened fireplace. Next to the living room, there was a kitchen which was observed to be clean and organized. There cleansers/chemicals were in locked box under the kitchen sink. The fridge was inspected and there was at least three days of perishable and seven days non-perishable foods. Next to the kitchen there was a play area with plenty of toys and an additional refrigerator containing extra food. One of the fire extinguishers was located downstairs in the kitchen, the first aid kit was inspected and contained all required items. There was also a linen closet with extra household items. Bedroom #1 contained two twin size beds, this room sleep Licensee's 10-year-old daughter. Per Licensee's this room can also be occupied for one more client. The upstairs consisted of a loft with additional couches, TV, and a second fire extinguisher was also observed. Bedroom #2 is the master bedroom, which sleeps Licensee and spouse. Per Licensee, this room remains locked at all times. LPA observed the medication box to be locked in Licensee's bedroom. Bedroom #3 consisted of two twin size beds with required bedding, dresser, closet space, and light, this room currently sleeps two female clients ages 8 and 4-year-old. Bedroom #4 contains a queen size bed that was currently occupied by Licensee's adult daughter. All bathrooms were inspected and were working properly. Water temperature was measured at 119.8 degrees F. In the hallway, there was an additional closet space with extra linen and extra comforters. ... Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The backyard was inspected and was free of hazards with accessible space for children to play. The garage was inspected and an additional freezer with food and extra household items were observed, Per Licensee the garage remains locked at all times. The carbon monoxide and fire alarms were tested and were working properly at the time of inspection. LPA observed there to be security cameras inside and outside the home. There were four security cameras throughout the house in the common areas and four security cameras outside the home. Per Licensee, there are no weapons nor firearms in the home at this time. LPA observed the Emergency Plan, Facility Sketch, Personal Rights and Visitor Sign in at the entrance. A total of 3 staff files and 2 client files were reviewed and were in compliance. Based on today's inspection, there are no deficiencies being cited at this time. An exit interview was conducted and copy of this report was provided to licensee Amy Johnson.

met_with: Licensee, Amy Johnson


facility_name: JOHNSON WELLNESS

summary: Facility Evaluation

raw_content:
Narrative:
On 05/31/24, a Component II was conducted at the Monterey Park Children's Residential Program Office with Johnson Wellness. Licensing Program Analyst (LPA) Joe Martinez, Licensing Program Manager (LPM) Yan Yeung, and Gregory Johnson (Licensee) were present for the meeting. During the meeting, LPA Martinez discussed their application and the pending items needed. LIC Forms: LIC 308: The facility name is missing, but was updated on this date. LIC 400: The current name needs to be removed and replaced with the Facility name. This affidavit concerns client cash resources and must accurately reflect the facility's information. The LIC 400 was updated on this date. LIC 501: The form is missing and will be returned to the regional office. LIC 503: The Health Screening Report was submitted on this date. LIC 508 (D): The applicant completed the LIC 508 form but needs to complete the LIC 508(D). LIC 610 (C): An incorrect form was submitted LIC 999: Client rooms were identified. Program Statement: The application is still pending for fire clearance. Copy of CPR certification and ID was provided. Does not indicate the ownership of the property or whether it is being rented. There is no mention of property ownership or rental status. Applicant will provide property tax bill. Applicant will revise daily activities for the youth and define emergency use medications. Policy of camera use will be revised and be operated according to CCL policy. Staff Training: revision on who will provide the training to staff. Revisions will be submitted to the regional office by June 17, 2024. An exit interview was conducted, and a signed copy of this report was provided to the Applicant

met_with: Gregory Johnson


summary: Facility Evaluation

raw_content:
Narrative:
On August 5, 2024, Licensing Program Analyst (LPA) Joe Martinez, Caitlan Chambers, and Licensing Program Manager (LPM) Yan Yeung conducted an announced pre-licensing inspection at the above address. Upon arrival, LPA Martinez met with Gregory Johnson, the applicant, and toured the external and internal areas of the home. The following was observed at the time of inspection: Physical Plant This two-story house is located in a quiet residential community. It consists of three (3) bedrooms, one (1) bathroom, a kitchen, a dining area, a family room, and a backyard. Bedroom one (1) will be used for the placed youth, bedroom two (2) will tentatively use for a play area and bedroom three (3) is used for the applicant and his spouse. The facility is clean, sanitary, and in working condition. Passageways are free from obstruction and there is no body of water. LPA Martinez observed a kitchen , sofa, television , and kitchen utensils in the garage. LPA Martinez did not observe a car in the garage. LPA Martinez observed three storage sheds and sharp garden tools accessible in the back of the house. Per the applicant, there are no firearms on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. LPA Martinez observed a smoke detector in all three (3) rooms. The home has three fire extinguishers. The home has a working telephone that is available for client use. The Whittier Fire Department conducted a fire inspection on 07/20/24, and a fire clearance was granted for 2 ambulatory clients. Fixtures, Furniture, Equipment, and Supplies The home has toilets, wash basins, and one shower/bath for clients' use. Client bedrooms #1 were observed to be clean and orderly and contained a twin bed. LPA observed clean pillows, bed sheets, and blankets. The client's bedroom has adequate closet and drawer space to accommodate client's the clothing and personal belongings. Needs To Be Corrected: • Knives, sharps, disinfectants, and cleaning solutions will need to be locked and secured in a centrally stored area. • Medications and the first aid kit containing all the required supplies will need to be observed and locked up. • A food menu will need to be developed and displayed in a prominent area of the kitchen. • Fire extinguishers will need to display maintenance log. • Staff and client files will need to be locked up. • Three storage sheds and sharp garden tools accessible in the back of the house, shall be locked and inaccessible. • Medications, disinfectants, and food shall be locked, inaccessible and stored separately. • Licensee shall display car registration, insurance and recent maintenance log. Water temperature will be checked. Before today's visit, the applicant submitted the final Program Statement/Plan of Operation to LPA Martinez. LPA Martinez will submit it for final review, and a new license will be mailed to the agency upon approval. An exit interview was conducted, and a signed copy of this report was emailed to the applicant.


summary: Facility Evaluation

raw_content:
Narrative:
On August 16, 2024, Licensing Program Analyst (LPA) Joe Martinez, conducted an announced pre-licensing inspection (follow up) at the above address. Upon arrival, LPA Martinez met with Gregory Johnson, the applicant, and toured the external and internal areas of the home. The following was observed at the time of inspection: LPA Martinez observed the following. First aid kit containing all the required supplies. Food menu displayed in a prominent area of the kitchen. Fire extinguishers display maintenance log. Locked cabinet for staff and client files. Three (3) storage sheds locked and inaccessible. Medications, disinfectants, and food locked, inaccessible and stored separately. LPA Martinez observed applicants car registration, insurance and recent maintenance log. Water temperature observed to be between 105 and 120 degrees. Before today's visit, the applicant submitted the final Program Statement/Plan of Operation to LPA Martinez. LPA Martinez will submit it for final review, and a new license will be mailed to the agency upon approval. An exit interview was conducted, and a signed copy of this report was emailed to the applicant.


summary: Facility Evaluation

raw_content:
Narrative:
On February 12, 2025, at 9:42 a.m., Licensing Program Analysts (LPAs) Christopher J. Williams and Gilbert Gutierrez conducted an unannounced post-licensing inspection at the above address and met with Administrator, Gregory Johnson. The home is a two-story home located in a residential neighborhood. The home has no placements currently. At around 9:50 a.m., Administrator Johnson gave a tour of the home. The home has four bedrooms and two bathrooms. LPAs observed the following: the posted license, facility sketch, and Children's Personal Rights. The sharp objects were stored and locked in the kitchen cabinet above the refrigerator. There were perishable and nonperishable foods in the home. The cleaning solutions were stored and locked in the storage room outside. Inside the bedroom reserved for children, there is two twin beds, a closet, and drawers for children's clothing. The extra linens and towels were stored in the hallway closet on the second floor. All confidential records will be stored and locked in the Administrator's office cabinet. The medications will be stored in box with a lock. A complete first aid kit is readily available in a central location in the facility. The facility has a working landline telephone. The facility has a working centralized heating and air conditioning. All the lights and appliances were working. No cameras observed installed inside the home. The walkways and hallways were unobstructed. The facility has no bodies of water. The facility is clean, sanitary and in good repair. One Technical Advisory (TA) was discussed and given to the Licensee (See Care Tool Summary). An exit interview was conducted and a copy of the LIC 809 was discussed and provided to the Administrator. No deficiency citations issued at the time of the inspection.

met_with: Gregory Johnson, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025, at 9:00 a.m., Licensing Program Analysts (LPAs) Christopher J. Williams and John Bonilla conducted an unannounced annual / required inspection at the above address and met with Administrator, Gregory Johnson. The home is a two-story home located in a residential neighborhood. The home / facility has no placements currently. Therefore, no clients were interviewed during the inspection. LPAs reviewed the Care Tool Domains, in which the three domains that were non applicable during the inspection were Staffing records, Client records, Clients with Special Health Care Needs. At around 9:58 a.m., Administrator Johnson gave a tour of the home. The home has four bedrooms and two bathrooms. LPAs observed the following: the posted license, facility sketch, and Children's Personal Rights. The sharp objects were stored and locked in the kitchen cabinet above the refrigerator. There were perishable and nonperishable foods in the home. The cleaning solutions were stored and locked in the storage room outside. Inside the bedroom reserved for children, there are two twin beds, a closet, and drawers for children's clothing. The extra linens and towels were stored in the hallway closet on the second floor. All confidential records will be stored and locked in the Administrator's office cabinet. The medications will be stored in box with a lock. A complete first aid kit is readily available in a central location in the facility. The facility has a working landline telephone. The facility has working centralized heating and air conditioning. All the lights and appliances were working. No cameras observed were installed inside the home. The walkways and hallways were unobstructed. The facility has no bodies of water. The facility is clean, sanitary and in good repair. An exit interview was conducted, and a copy of the LIC 809 was discussed and provided to the Administrator. No deficiency citations issued at the time of the inspection.

met_with: Gregory Johnson, Facility Administrator


facility_name: JONES SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On March 12, 2024, Licensing Program Analyst (LPA) Karen Beal and Licensing Program Manager (LPM) Abdoulaye Traore met with applicants Roshundra Jones for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the notification of incomplete application (LIC 184), letter of Incomplete Application, and additional correspondence to assist with the revisions needed to the application. Copy of this report was provided to applicant.

met_with: Roshundra Jones


summary: Facility Evaluation

raw_content:
Narrative:
On March 28, 2024, at 1: PM, Licensing Program Analyst (LPA) Karen Beal began a Pre-Licensing inspection for a Small Family Home license. LPA met with Assistant Caregiver who led a tour of the home. The facility was toured both inside and out with the applicant. Applicant is applying for a capacity of 2 ambulatory clients. The home consists of: Bedroom #1, Master bedroom. The room consisted of one queen size bed. It sleeps the Licensee. Bedroom #2, The room consisted of queen size bed. It sleeps the Assistant caregiver. Bedroom #3, The room was furnished with two twin beds . It is vacant and will sleep 2 foster children Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the home there is a fireplace and it is properly screened. Telephone service and appliances were in a working order. Medications are locked in master bedroom. Cleansers/chemicals were locked and stored in the garage a cabinet. Sharp knives were inaccessible and stored in the garage in a cabinet. There are no guns located in the home. The hot water temperature was tested and noted to be 112 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit were accessible with all required items and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The Assistant Caregiver took the Component III training. The request to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to the Assistant Caregiver, Michael Jones.

met_with: Michael Jones, Assistant Caregiver


summary: Facility Evaluation

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Narrative:
On March 16, 2026, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Jones Small Family Home (SFH) annual random inspection. Currently, there is one client in placement at the home. The home is licensed for a capacity of two clients (all ambulatory). The Facility was toured both inside and out with the licensee. The home is a single-story building with three bedrooms and two full bathrooms. During the inspection, LPA observed that the house consisted of the kitchen, a living room, a dining area with a medium-size table and three bedrooms. Bedroom #1 was furnished with a Cal Queen-size bed; it was the master bedroom; It sleeps the licensee. Bedroom #2 was furnished with a queen-size bed, it sleeps licensee's biological son, age 35 years. Bedroom #3 was furnished with a full-size bed; it sleeps one client. The licensee's bedroom is not accessible to the clients. The medications will be stored and locked in a plastic storage safe located in the kitchen cabinet. Sharp knives were inaccessible and stored in a locked plastic box in the kitchen cabint. The First Aid Kit was in the kitchen cabinet under the kitchen sink and contained all required items. The garage was inspected, used for cars, storage and laundry area. The water temperature was tested and measured at 115 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. There was a variety of snacks available for clients. In addition to the space, there was one full bathroom fully functioning and hallway closets. A trash can was observed to have tight fitting cover. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. The clients' medication log records were kept updated with no discrepancy. Three fire extinguishers were observed and operable. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in a cabinet in the garage. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. There were no guns or weapons in the home as stated by Licensee. There was a total of five cameras, three located outdoors and two located indoor which met the title 22 camera policy. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Clients' files and staff files were reviewed and found to comply. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, and a copy of this report was discussed and provided to License.

met_with: Licensee


facility_name: JOY'S FAMILY HOME

summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced annual required inspection. LPA Meza-Gonzalez met with Licensee Jocelyn Irasusta. LPA Meza-Gonzalez inspected the small family home (SFH) with Licensee. LPA Meza-Gonzalez inspected both indoor and outdoor areas of the SFH. The home has three clients in care, three males. The SFH serves four developmentally disabled children, all whom are ambulatory. The SFH is a single-story five bedrooms and two bathrooms. The areas inspected were the living room, dining room, kitchen, family room, playroom/enclosed patio, bedrooms, bathrooms, garage and backyard. The bedrooms are set up as follows: Bedroom # 1 is occupied by the Licensee adoptive son. Bedroom #2 is occupied by one client, two twin beds and all required linen, mattress in good condition. Bedroom #3 is occupied by two clients, two twin bed and all required linen, mattress in good condition. Bedroom # 4 is occupied by the Licensee and has a bathroom. Bedroom #5 is occupied by the Licensee biological son. Each of the clients' bedroom has adequate dresser and closet space. Bedrooms were arranged so that no more than two clients share a room, and there was 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 a bathroom in the hallway for clients use and staff use. The water temperature measures at 119 degrees Fahrenheit (F). The water temperature is within Community Care Licensing regulations from 105 degrees F to 120 degrees F. The hallway cabinets have extra linen for the beds. Medications and first aid kit with all required items were locked in the hallway closet next to the master bedroom. See LIC 809C page The kitchen is stock with two days perishable and seven days non-perishable foods. The menu is located on the side of the refrigerator. There is an extra refrigerator and freezer in the garage with additional foods and drinks. Sharp knives are locked in a cabinet under the sink. The outside of the facility in the backyard has a basketball court for client use and on the side of the facility there is a workout area. Cleansers/chemicals were locked and stored in the garage. There is a washer and dryer in the garage. Smoke detector and carbon monoxide were tested and is working properly throughout the home. The last fire drill was held on 9/19/21. All hazardous items have been properly made inaccessible to areas where children will have access. The SFH is operating within the capacity and limitation of the licensee. The home is clean, safe sanitary and in good repair. There were no exit obstructions or potential hazards. The licensee has posted Emergency Disaster Plan (LIC 610C), Clients' Personal Rights, facility sketch and personnel list (LIC500) is posted in the hallway. LPA Meza-Gonzalez attempt to interview clients (see confidential name list, LIC811, dated : 10/27/2021) however was unable to due to limited capacity. Due to time constraints, the annual inspection is being extended to review staff and clients' files and staff interviews. . The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulation. An exit interview was conducted with the licensee and a copy of this report was given to the Licensee.

met_with: Jocelyn Irasusta


summary: Facility Evaluation

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Narrative:
On 10/29/2021 at 9: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced annual continuation inspection. LPA Meza-Gonzalez met with Licensee Jocelyn Irasusta. LPA Meza-Gonzalez inspected the small family home (SFH) with Licensee. The SFH serves four developmentally disabled children, all whom are ambulatory. The home has three clients in care, three males. LPA Meza-Gonzalez reviewed three client files (see confidential list, dated: 10/29/2021) and two staff files. The files appeared to be complete and in order. LPA Meza-Gonzalez conducted two staff interviews. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, a copy of this report and LIC811 was given to Licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On October 28, 2022 at 8: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced annual required inspection. LPA Meza-Gonzalez met with Licensee Jocelyn Irasusta. LPA Meza-Gonzalez inspected the small family home (SFH) with Licensee. LPA Meza-Gonzalez inspected both indoor and outdoor areas of the SFH. The home has three clients in care. The SFH serves four developmentally disabled children, all whom are ambulatory. No clients were present during the inspection. The SFH is a single-story five bedrooms and two bathrooms. The areas inspected were the living room, dining room, kitchen, family room, playroom/enclosed patio, bedrooms, bathrooms, garage and backyard. The bedrooms are set up as follows: Bedroom # 1 is occupied by the Licensee's son. Bedroom #2 is occupied by one client, two twin beds and all required linen, mattress in good condition. Bedroom #3 is occupied by two clients, two twin bed and all required linen, mattress in good condition. Bedroom # 4 is occupied by the Licensee and has a bathroom. Bedroom #5 is occupied by the Licensee's son. Each of the clients' bedroom has adequate dresser and closet space. Bedrooms were arranged so that no more than two clients share a room, and there was 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 a bathroom in the hallway for clients use and staff use. The water temperature measures at 113 degrees Fahrenheit (F). The water temperature is within Community Care Licensing regulations from 105 degrees F to 120 degrees F. The hallway cabinets have extra linen for the beds. Medications and first aid kit with all required items were locked in the hallway closet next to the master bedroom. See LIC809c page 2. The kitchen is stock with two days perishable and seven days non-perishable foods. The menu is located on the side of the refrigerator. There is an extra refrigerator and freezer in the garage with additional foods and drinks. Sharp knives are locked in a cabinet under the sink. The outside of the facility in the backyard has a basketball court for client use and on the side of the facility there is a workout area. Cleansers/chemicals were locked and stored in the garage. There is a washer and dryer in the garage. Smoke detector and carbon monoxide were tested and is working properly throughout the home. The last fire drill was held on September 17, 2022. All hazardous items have been properly made inaccessible to areas where children will have access. The SFH is operating within the capacity and limitation of the licensee. The home is clean, safe sanitary and in good repair. There were no exit obstructions or potential hazards. The licensee has posted Emergency Disaster Plan (LIC 610C), Clients' Personal Rights, facility sketch and personnel list (LIC500) is posted in the hallway. LPA Meza-Gonzalez reviewed three client files (see confidential list, dated: October 28, 2022) and three staff files. The files appeared to be complete and in order. No staff was present during inspection. The facility has demonstrated compliance with Title 22, Division 6 of the California Code of Regulation. An exit interview was conducted with the licensee and a copy of this report was given to the Licensee.

met_with: Joy Irasusta


summary: Facility Evaluation

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Narrative:
On October 12, 2023, at 10:15AM, Licensing Program Analyst (LPA) Carol Anderson arrived at the facility to conduct an annual/required visit. LPA met with Licensee Jocelyn Irasusta. The facility is licensed for 4 clients. There are currently three regional center clients, and one adopted client currently residing at the facility. LPA interviewed one staff. LPA was unable to interview three clients due to limited verbal communicate. LPA reviewed three staff files and three client files. All the necessary documentation in the file. The bedrooms are set up as follows: Bedroom # 1 is occupied by the Licensee's son. Bedroom #2 is occupied by one client, two twin beds and all required linen, mattress in good condition. Bedroom #3 is occupied by two clients, two twin bed and all required linen, mattress in good condition. Bedroom # 4 is occupied by the Licensee and has a bathroom. Bedroom #5 is occupied by the Licensee's son. Each of the clients' bedroom has adequate dresser and closet space. Bedrooms were arranged so that no more than two clients share a room, and there was 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 a bathroom in the hallway for clients use and staff use. The hallway cabinets have extra linen for the beds. Medications and first aid kit with all required items were locked in the hallway closet next to the master bedroom. The kitchen is stock with two days perishable and seven days non-perishable foods. The menu is located on the side of the refrigerator. There is an extra refrigerator and freezer in the garage with additional foods and drinks. Sharp knives are locked in a cabinet under the sink. The outside of the facility in the backyard has a basketball court for client use and on the side of the facility there is a workout area. -See LIC 809C page 2. Cleansers/chemicals were locked and stored in the garage. There is a washer and dryer in the garage. Smoke detector and carbon monoxide were tested and is working properly throughout the home. The last fire drill was held on September 17, 2023. All hazardous items have been properly made inaccessible to areas where children will have access. The SFH is operating within the capacity and limitation of the licensee. The licensee has posted Emergency Disaster Plan (LIC 610C), Clients' Personal Rights, facility sketch and personnel list (LIC500) are posted in the hallway. Based on observations made during the inspection, no deficiencies observed during today's visit. An exit interview was conducted, a copy of this report was given to Licensee Jocelyn Irasusta.

met_with: Jocelyn S.Irasusta


summary: Facility Evaluation

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Narrative:
On March 26, 2025 at 9: AM Licensing Program Analyst (LPA) Lucero Jauregui arrived unannounced to the facility and met with Jocelyn S.Irasusta, Administrator for the purpose of conducting a Case Management inspection to check on the health and safety of the clients in care. No immediate deficiencies were observed or cited during today's case management inspection. An exit interview was conducted, and a copy of this report was provided to Jocelyn S.Irasusta, Administrator.

met_with: Jocelyn S.Irasusta, Administrator


summary: Facility Evaluation

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Narrative:
On October 3, 2025, at 10: AM, Licensing Program Analyst (LPA) Cynthia Velasquez arrived unannounced at the facility to conduct an annual/required visit. LPA was greeted by Jocelyn Irasusta, Administrator. An inspection of the facility was initiated and Administrator accompanied. The front entrance to the facility was clean and there were no obstructions at entrance. There were stairs and an open driveway which was ADA accessible. The outside lead to a patio, which contained a gym room. Various items were contained for fitness, a boxing bag, weights, rowing, and other physical equipment. The backyard contained a professional basketball court with protective netting. There was an outside BBQ, with a sink, and bar with chairs. The counter tops are granite. The entire backyard is fenced and there are no obstructions or overgrown foliage. The facility is licensed for 4 clients and currently is at capacity. There is currently two regional center clients, and two San Diego County placements housed. LPA interviewed two staff. LPA was unable to interview clients due to limited verbal communication. LPA reviewed three staff files and four client files. Staff files contained health screenings, CPR certifications, and background clearances. All client files contained placement information, IPP, and Medical authorizations. The facility has five bedrooms, which consist of the master bedroom, 3 client's bedrooms, and adult son's bedroom. There are two bathrooms, one specifically for clients and one for adults. Continued on LIC809C === > Clients' bedrooms have the capacity for 2 clients each, either with twin beds or a bunk bed. The closet space is arranged for client accessibility: garments are folded, labeled, and separated by labels, type of clothing, and by client's name. All bedrooms have dressers and closet space. No room is used for other purposes than a bedroom, and no bedroom serves as a passageway to another room. There are cabinets in the hallway which have bed linens and towels. Medications and first aid kit with all required items were locked in an additional hallway closet. Along with bandaging, thermometers, and tweezers, there is an ample supply on hand. The kitchen has locked knives and chemicals for cleaning under the sink. There were several snack items accessible to the clients near the dining area, on the counters in the kitchen, and on hand. The facility has more than three refrigerator/freezers which contain perishable, and frozen food items. There is a menu for weekly items to be prepared on the refrigerator. Area was clean and fresh fruit and vegetables were available. There are water bottles, as well as a receptacle for water available for clients. The dining area had seating for 6, and snacks, cereals, and water was available on hand. There was a TV area next to the dining area. It contained a love seat, couch, and lounge chair. There is a formal dining area which can sit 6 and is centered in the middle of the facility. There is a formal living room at the entrance of the facility. There are three couches and a TV here. The garage contained cleansers/chemicals which were locked and out of client accessibility. There is a washer and dryer, additional refrigerator and freezer with ice cream, meats, and frozen items. There is an office for administrator and adult son there as well. There are more storage areas for paper goods, supplies, and client needs. The facility has a posted Emergency Disaster Plan (LIC 610C), Clients' Personal Rights, Facility sketches, personnel list (LIC500), and Licensing Certification in the hallway. Based on observations made during the inspection, no deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report was given to Jocelyn Irasusta, Administrator.

met_with: Jocelyn Irasusta, Administrator


facility_name: JOY FUL CARE PLACE

summary: Facility Evaluation

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Narrative:
On February 11th, Licensing Program Analyst (LPA) Maryjane Perez met with applicants Judah and Isabella Mwaura this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicants Judah and Isabella Mwaura

met_with: Applicants- Judah and Isabella Mwaura


summary: Facility Evaluation

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Narrative:
On March 7, Licensing Program Analyst (LPA) Maryjane Perez arrived at Joy ful Care Place Small Family Home (SFH) for a pre-licensing inspection for an initial license. LPA met with applicants Judah and Isabella Mwaura who led a tour of the entire home inside and out. Currently there are no children placed in the home. The applicants are applying to serve 4 children 2 ambulatory, 1 non ambulatory and 1 bedridden, ages 0-17 years old. The home is a one story building with 5 bedrooms and 3 bathrooms. The entry way consisted of fire extinguisher #1 that was up to date. There was living room with couches, TV, and fire place that was properly screened. Bedroom #1 had a queen size bed with storage space for personal belongings and was utilized for biological child. The kitchen had a fully stocked refrigerator and pantry with perishable and non perishable foods. There was locked sharps and knives in a kitchen cabinet. There was also a locked cabinet storing medication. The refrigerator had a locked box for medication as well. Under the kitchen sink there was locked cleaning solutions such as soaps and detergents. There was bathroom #1 that was fully functioning. There was a laundry room that had washer and dryer and stored a mop and broom . The office was locked and stored a computer, books, and will store clients files, cash resources, and personnel files. There was bedroom #2 that was currently vacant and had two twin size beds and would be utilized for 1 bedridden client and 1 non-ambulatory client and it had a sliding door that led to the exterior with a ramp. The hallway had fire extinguisher #2 that was up to date. Bedroom #3 had an extra large twin size bed and a twin size bed that will be utilized for one client and applicants bio-son. Bedroom #4 had two twin size beds with appropriate dresser and closet space that will be utilized for 1 client and applicants adopted-daughter. Bathroom #2 was spacious and had a shower, sink, and toilet all fully functioning with water temperature reaching 109.7 degrees F. Bedroom #5 was the master bedroom and it will be locked at all times as it stores applicants personal belongings. The master bedroom also had bathroom #3 with a bath tub and sink fully functioning. The backyard wrapped around to the front yard which fully enclosed and had an entrance gate. The children are always supervised when going outside. In the backyard there is a ramp to get inside and out. There was also a storage bin that stored extra household items such as decorations and yard tools. The backyard was free of hazards. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Telephone service was needed but appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. As stated by applicants, there were no weapons/firearms and there were no pools or other bodies of water. Based on this inspection of the home, the facility will need the following corrections: Obtain a telephone land line service After corrections are completed, the applicant will notify LPA so that another inspection can be completed. Component III orientation was also completed this day of March 7, Exit interview conducted and a copy of this report was discussed and provided to applicants Judah and Isabella Mwaura.


facility_name: JOYCE HOMECARE CENTER

summary: Facility Evaluation

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Narrative:
On February 24th, 2026, Licensing Program Analyst (LPA) Claudia Aguilera met with Applicants Joy Chinyere Achu and Frank Kelechukwu Achu for the Component II of the application process. LPA Aguilera went over revisions needed for the application prior to license. The due date is March 24th, 2025. LPA Aguilera provided applicants with a copy of the LIC 184, Notice of Incomplete Application and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to the Applicants, Joy Chinyere Achu and Frank Kelechukwu Achu.

met_with: Applicants Joy Chinyere Achu & Frank Kelechukwu Achu


facility_name: JOYCE SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On October 09, 2024, Licensing Program Analyst (LPA) Rafael Enriquez met with applicant Joyce Muthondu for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the notification of incomplete application (LIC 184), Letter of Application Revisions, and additional correspondence to assist with the revisions needed to the application. Copy of this report was emailed to applicant and a signed copy will be placed in the facility file.

met_with: Applicant- Joyce Muthondu