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


state: CA

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.

report_type: Facility Evaluation

visit_type: Prelicensing


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.

visit_type: Annual

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

raw_content:
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

raw_content:
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

raw_content:
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.

visit_type: Case Management


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

raw_content:
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

raw_content:
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

raw_content:
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

raw_content:
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

raw_content:
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

raw_content:
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


summary: Facility Evaluation

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

met_with: Applicant- JOYCE MUTHONDU


summary: Facility Evaluation

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


summary: Facility Evaluation

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

met_with: Lorraine Joyce-Licensee


summary: Facility Evaluation

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

met_with: Lorraine Joyce, Licensee


summary: Facility Evaluation

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

met_with: Lorraine Joyce, licensee


summary: Facility Evaluation

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

met_with: Lorraine Joyce


summary: Facility Evaluation

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


facility_name: JOYFUL CARE PLACE

summary: Facility Evaluation

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

met_with: Licensees- Judah and Isabella Mwaura


summary: Facility Evaluation

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Narrative:
On March 18, 2025, at 11: AM, Component II of the application process for JR.'S House SFH, located at Huggins Drive, Carson, CA 90746, was held at the California Department of Social Services, Community Care Licensing Division - Children's Residential Program - Regional Office in El Segundo. Present were Licensing Program Analyst (LPA) Dennis Jarmin, Licensing Program Manager (LPM), and applicant April L. Dean including Danielle Howard. The purpose of the Component II meeting was to review the submitted application and Program Statement, address outstanding items, and resolve any concerns. The following application forms were discussed: · Designation of Administrative Responsibility (LIC 308) o A designated individual must be assigned as the authorized person to act in the licensee's absence. A background check clearance is required. · Criminal Record Exemption Request Transfer (LIC 9188) o Active criminal record exemptions may be transferred between state licensed facilities or organizations by the license applicant or licensee. · Facility Sketch (LIC 999) o The sketch must include dimensions and designate the use of all rooms. It must show door and window exits and indicate emergency exit routes corresponding to the LIC 610/LIC 610A Emergency Disaster Plan. Rooms designated for non-ambulatory clients/residents and staff should be identified. Program Statement Discussion and Updates Required: · Medication destruction procedures and staff training · Dietary options for school, including a sample meal plan · A 30-day post-admission client assessment form · Client population and room assignments · Behavioral management and crisis intervention plan · Emergency and incident reporting procedures · Daily schedule and individualized activities · Transportation and Community Integration Plan · Admission and placement criteria The applicant was advised that all revisions and corrections to the application and Program Statement are due by March 28, 2025. A Pre-Licensing Inspection is scheduled for March 21, 2025, at 9: AM. A copy of this report will be provided to the applicant, April L. Dean

met_with: APRIL L DEAN


summary: Facility Evaluation

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Narrative:
On March 21, 2025, at 09: AM, Licensing Program Analysts (LPA) Dennis Jarmin conducted an announced pre-licensing inspection at JR. House Small Family Home, located at Huggins Dr. Carson CA 90746. LPA met with applicant, April L. Dean. At the time of the visit, there were no children in placement. The facility is seeking licenses to provide care for ambulatory minors between the ages of 3 and 17. As there were no children in placement, no client interviews were conducted, and no client files were available for review. The only interview conducted was with the applicant. Facility Overview: The 2 story home was clean, organized, and free from safety hazards. It includes 4 bedrooms, two bathrooms, a living room, a dining/family room, a kitchen, a laundry room, and a family room. There is a body of water on the property, and it's fenced in, fully covered and inaccessible. A locked closet near the entrance stores staff and client files and an emergency disaster preparedness mobile jack box is in the family room. Living Room: The living room has two sofas and 1 single sofa. A fire extinguisher is mounted on the wall near the kitchen and hallway. The non-operable fireplace is enclosed with a metal safety cover; however, the applicant was advised to ensure that the fireplace is in accessible. The home has central air and heat with available ceiling fan in the dining/family area. Kitchen: The kitchen is clean and well maintained. It includes one refrigerator/freezer, a dual oven, stove with five working burners and a hood that is maintained regularly, a microwave, and a toaster. A medication locked cabinet is near the kitchen and inaccessible. A weekly menu is posted, and there are enough perishable and non-perishable foods for at least one week. Cleaning supplies are stored in a locked cabinet, and two first aid kit containing all required items was observed in the bathroom closed to the kitchen downstairs and one upstairs. Required postings, including the Disaster Plan, Foster Youth Rights, and Facility Sketch, are visibly displayed. There are side doors leading to the backyard area. The laundry area has a washer, dryer, and locked cabinet for laundry supplies. An exit door leads to the kitchen. Dining Room: The dining room has an island with bar stole and a round bar table with two barstool including two large sofa and large television, which meets the needs of the home's capacity. A second exit door provides access to the backyard. Hallway: Two hallway closets were observed in the first and second floor. One stores extra linens, towels, blankets, and hygiene items. The second is locked and used for storing cleaning chemicals. Bedrooms: There are four bedrooms. Bedroom #2 is designated for clients with king bed and two enclose sliding door closets, clean linens, pillows, warm blankets, and individual laundry baskets. The room also contains dressers and a closet. Bedroom #1 is the Administrator's/staff Office. It includes office table and office chairs. Bedroom #3 is designated as a client room with queen bed and meets standards located upstairs. Bedroom #4 has king bed and designated for the applicant with jack and jill bathroom that has lockable mechanism, located upstairs. Bathrooms: Both bathrooms are clean and functional, with a working toilet, sink, shower, and bathtub. Hot water was tested and measured between 105-120°F, which is within the regulatory range. One is located downstairs and upstairs. Garage and Backyard: The detached garage is used for storage and remains locked. The backyard is spacious, clean, and free of hazards. It features a play area and lemon/orange trees. Health and Safety Compliance: The home is equipped with a two-carbon monoxide and 9 smoke detectors in all required areas, and all were tested and operational. There are 4 surveillance cameras for the outside perimeter. The property has central heating and air conditioning. Gas, water, and power shut-off valves and all valves are located on the left side of the house. Facility Vehicle: LPAs observed a Mercedes S Silver parked on-site. The vehicle registration is valid through May 2025 and is insured by State Farm, with the next renewal scheduled for June 2025. Exit Interview: An exit interview was conducted with applicant, April Dean. A copy of this report will be emailed and provided.

met_with: April L. Dean


summary: Facility Evaluation

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Narrative:
On August 13, 2025, Licensing Program Analyst (LPA) C. White arrived at JR's House Small Family Home for the purpose of conducting a Post Licensing Inspection. LPA met with Licensee, April L. Dean who granted access to the home and together a tour of the interior and exterior home was conducted. The home is licensed to provide care and supervision for two (2) children ages 3-17 years old, ambulatory only. Currently the census is zero (0). Home overview: This is a two story 4 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining/family room, kitchen, laundry area, an office, den, a backyard, and garage. Living room: is located to the left of the entry way and has two (2) sofas, a sofa chair, a operable fireplace enclosed with a metal safety cover, and a coffee table. Dining/Family room: has an island with bar stools, a round bar table with two (2) bar stools, two (2) sofas, a television stand and TV, and a door leading to the den. Kitchen: has a refrigerator/freezer, a five (5) burner gas stove (all burners operational at the time of inspection), double ovens, a microwave, a dishwasher, and a toaster oven. Sharp knives are kept in locked kitchen drawer. Cleaning supplies are kept under the sink in a locked cabinet. Laundry area: is located an enclosed locked kitchen cabinet and has a washer and dryer. Garage: observed to be used for storage and remains locked at all times. Bedroom #1: is designated for Client #1. The room has a California King bed, linen, and pillows. The room has a closet, two (2) dressers, and a TV. Report continued on LIC 809C (Page 1 of 3) LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, inclines, ramps and open porches are unobstructed. The front and backyard were clean and free of debris. There is a body of water on the property, located in the backyard and is fenced in, fully covered and inaccessible to clients in care. LPA reminded Licensee to ensure the following: Children are accorded personal rights, and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports. LPA reviewed the following records during the inspection: Client Records: Licensee has not had any children placed in the home. Staff Records: The home currently has no staff. LPA reviewed Licensee file and confirmed file contained current CPR/First Aid cards, health screening, and TB test results. Licensee has required criminal record clearance: DOJ, FBI and Child Abuse. Exit Interview: An exit interview was conducted with applicant, April Dean. A copy of this report will be emailed and provided. (Page 3 of 3). Bedroom #2: is designated for Client #2. The room has a Queen bed, linen, and pillows. The room has a dresser, closet, and a cabinet with a TV. Bedroom #3: is used as the Administrator's/staff Office. The room includes a table, desk, office chair, computer, and a locked cabinet that stores office supplies. Bedroom #4: is occupied by the Licensee. The room has a California King bed, linen, and pillows. The room has a closet, dressers, and a mounted TV. All bedrooms were all observed to windows, and working lights. (2) Bathrooms: one bathroom is located downstairs, and the second bathroom is a jack and jill bathroom located between bedroom #2 and bedroom #4. The bathroom contained a toilet, sink, and shower. Hot water was tested and measured between 105-120°F. Hallways: The home has two (2) hallway closets. One is located on the first floor which stores cleaning chemicals and remains locked at all times. The second is located on the second floor which stores extra linens, towels, blankets, and hygiene items. Transportation: Licensee has a Silver Mercedes S550 to transport clients. LPA observed current registration through (May 2025) and is insured by State Farm, with the next renewal scheduled for December 2, 2025. LPA observe the home to have central heating and air conditioning. The smoke and carbon monoxide detectors were tested and found to be in working order. The home has 4 surveillance cameras located on the outside perimeter. There are two (2) fully charged fire extinguishers and a working telephone readily accessible to children in care. Medication is kept locked in a cabinet near the kitchen. The home has a complete First Aid kit. The Licensee has a small dog and with current vet record. All posting requirements were met. Report continued LIC 809C (Page 2 of 3).

met_with: Licensee - April Dean


summary: Facility Evaluation

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Narrative:
On April 7, 2026 at 9:00AM, Licensing Program Analyst (LPA) Lanice White arrived at JR's House Small Family Home for the purpose of conducting a Annual Inspection. LPA met with Licensee, April L. Dean who granted access to the home and together a tour of the interior and exterior home was conducted. The home is licensed to provide care and supervision for two (2) children ages 3-17 years old, ambulatory only. Currently the census is one (1). Home overview: This is a two story 4 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining/family room, kitchen, laundry area, an office, den, a backyard, and garage. Living room: is located to the left of the entry way and has two (2) sofas, a sofa chair, a operable fireplace enclosed with a metal safety cover, and a coffee table. Dining/Family room: has an island with bar stools, a round bar table with two (2) bar stools, two (2) sofas, a television stand and TV, and a door leading to the den. Kitchen: has a refrigerator/freezer, a five (5) burner gas stove (all burners operational at the time of inspection), double ovens, a microwave, a dishwasher, and a toaster oven. Sharp knives are kept in locked kitchen drawer. Cleaning supplies are kept under the sink in a locked cabinet. Laundry area: is located an enclosed locked kitchen cabinet and has a washer and dryer. Garage: observed to be used for storage and remains locked at all times. Bedroom #1: Occupied by Client #1. The room has a California King bed, linen, and pillows. The room has a closet, two (2) dressers, and a TV. (Continued see 809-C page 2) (Page 2) Bedroom #2: is designated for Client #2 currently vacant. The room has a Queen bed, linen, and pillows. The room has a dresser, closet, and a cabinet with a TV. Bedroom #3: is used as the Administrator's/staff Office. The room includes a table, desk, office chair, computer, and a locked cabinet that stores office supplies. Bedroom #4: is occupied by the Licensee. The room has a California King bed, linen, and pillows. The room has a closet, dressers, and a mounted TV. All bedrooms were all observed to windows, and working lights. (2) Bathrooms: one bathroom is located downstairs, and the second bathroom is a jack and jill bathroom located between bedroom #2 and bedroom #4. The bathroom contained a toilet, sink, and shower. Hot water was tested and measured between 105-120°F. Hallways: The home has two (2) hallway closets. One is located on the first floor which stores cleaning chemicals and remains locked at all times. The second is located on the second floor which stores extra linens, towels, blankets, and hygiene items. Transportation: Licensee has a Silver Mercedes S550 to transport clients. LPA observed current registration through (May 2026) and is insured by State Farm, with the next renewal scheduled for June 2026. LPA observe the home to have central heating and air conditioning. The smoke and carbon monoxide detectors were tested and found to be in working order. The home has 4 surveillance cameras located on the outside perimeter. There are two (2) fully charged fire extinguishers and a working telephone readily accessible to children in care. Medication is kept locked in a cabinet near the kitchen. The home has a complete First Aid kit. The Licensee has a small dog and with current vet record. All posting requirements were met. LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, inclines, ramps and open porches are unobstructed. The front and backyard were clean and free of debris. There is a body of water on the property, located in the backyard and is fenced in, fully covered and inaccessible to clients in care. (Continued see 809-C page 3) (page 3) Client Records: LPA reviewed 1 client records, meets requirement during inspection. Staff Records: LPA reviewed 1 staff records, meets requirement during inspection. Staff Interview: LPA conducted a confidential interview with Licensee. Client Interviews: None, client was in school An exit Interview was conducted, and a copy of this report was left with the Licensee. There were no deficiencies cited at the time of the visit.

met_with: April Dean - Licensee


summary: Complaint Investigation - Unsubstantiated - 1 allegation

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Investigation Findings:
13On April 7,2026 at 1:00pm Licensing Program Analyst (LPA) made an unannounced complaint inspection to the above facility for the purpose of concluding the investigation on the above allegation and delivering the findings. LPA met with April Dean and together, discussed the investigative findings. It was reported that Licensee is taking inappropriate photos of a minor in care and Licensee made inappropriate comments about a minor in care. During the investigation by Licensing program Analyst (LPA) Lanice White all relevant parties have been accounted for. Interviews conducted could not determine the validity of the allegation. Parties accounts differed or denied that the allegation occurred. There is no evidence that confirms the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies are being cited at this time. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Lanice White 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 1

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

report_type: Complaint Investigation

complaint_status: unsubstantiated


facility_name: JUDITH SMALL FAMILY HOME

summary: Facility Evaluation

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

met_with: Licensee


summary: Facility Evaluation

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Narrative:
On November 5, 2025, Licensing Program Analyst (LPA) Claudia Aguilera conducted an annual inspection at Judith Small Family Home (SFH). The home is licensed to served one non-ambulatory, one bedridden, and two ambulatory clients. Currently, the facility has placement of three ambulatory clients. The facility was toured inside and out with the Licensee, Judith Kuria. The home is two story residence with 7 bedrooms and 5 bathrooms. During the inspection, LPA observed that the downstairs consisted of the kitchen with pantry, living room, lounge room, bathroom #1, a laundry area , a closet, and dining area. Bedroom #1 was vacant with one queen size bed, closet, and dresser, it would sleep one bedridden client, it has an exit door to the outside. Bedroom #2 is occupied by 16-year ambulatory client, it consists of closet, dresser, desk, and bathroom #2. LPA observed trash cans to have tight fitting covers. The kitchen was observed to be organized and clean, no sharps/knives were accessible to clients, soaps and cleaning supplies were also stored and locked. LPA observed a minimum of seven-day nonperishable supply of food and three-day perishable supply of food, and plenty of snacks. The medications were locked in a kitchen cabinet inaccessible to clients. Additional medications were stored in a locked mini refrigerator located in a small storage closet. The fist aid kit was stored in a kitchen cabinet and contained all required items. A family room was observed with a couch, television and fireplace. In addition, a lounge room was observed with two chairs, couch, and television. A computer area was also observed to be accessible to clients for homework and/or study. The garage was also inspected, LPA observed one vehicle, bicycles, storage containers, and one freezer for additional food. ... The second level of the home consisted of bedroom #3 which is occupied by licensee's biological son which includes bathroom #3. Bedroom #4 is occupied by the licensee and spouse; it also includes bathroom #4. Licensee stated weapons are stored in bedroom #4's closet. LPA observed two locked safes, one for the weapons and one for the ammunition. LPA observed a large loft area that included a television and couches. A linen closet was also observed in the upstairs hallway with clean linens and towels. LPA observed a full laundry room that included a washer and dryer and locked detergents/cleaning supplies. Bedroom #5 consisted of closet, dressers, one vacant twin bed, and one twin bed occupied by 8-year old client. Bathroom #5 was observed and fully functioning it included a trash can with a tight-fitting cover. Bedroom #6 consisted of a closet, dresser, and one twin bed occupied by 8-year-old client. Bedroom #7 is occupied by the licensee's biological daughter. The water temperature was tested and measured at 116.8 degrees F. LPA observed all windows and screens to be in good repair. The smoke and carbon monoxide detectors were tested and operable. Two fire extinguishers were observed to be operable, one located downstairs and one upstairs. The following required posted items were observed to be accessible to clients, personal rights and current menu. The backyard was also inspected, and included a play set with swings and slides, there were no hazards or obstructions observed. There are two indoor cameras, both located in common areas (living room and upstairs hallway) and four outdoor cameras which meet the Title 22 camera policy. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, a copy of this report was provided to Licensee.

met_with: Licensee Judith Kuria


summary: Facility Evaluation

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


summary: Facility Evaluation

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


summary: Facility Evaluation

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

met_with: Judith Kuria


summary: Facility Evaluation

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Narrative:
On July 30, 2024 at 08:30AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with applicant Julie Baldonado via Microsoft Teams Meeting for a Component II of the application process. Lpa a. Caballero went over revisions needed for the application prior to license and the revisions are due no later than August 13, 2024. Lpa a. Caballero gave a copy of the this report, 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 applicant via email. Original signed copy of this report will be placed in the facility file.

met_with: Applicant-Julie Baldonado


summary: Facility Evaluation

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Narrative:
On August 7, 2024, at 10:30AM, Licensing Program Analyst (LPA) Adaleyci Caballero completed a pre-licensing inspection of Julie Baldonado Small Family Home (SFH). LPA met with Applicant Julie Baldonado who led a tour of the home. The facility was toured both inside and out with the applicant. There are no clients in placement. The home is a one-story building with five bedrooms and two full bathrooms which are set up as follows: Bedroom #1- It consisted of two single beds. The beds had linen, comforters, and pillows. It will sleep two clients. Bedroom #2- It consisted of a single bed. It will sleep applicant #2 (Raul Serrano). Bedroom #3- It consisted of a single bed. It will sleep adult in the home. Bedroom #4- It consisted of a single bed. It will sleep applicant (Julie Baldonado). Bedroom #5- It consisted of a single bed. It will sleep adult in the home. A living room, kitchen, dining area, den, and a backyard. The applicant's bedroom will be utilized as an office space inaccessible to clients in care. 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 space for the clients' belongings. There was a smoke detector in the client's room and in bedroom #4. The two smoke detectors and carbon monoxide detector were checked and working properly. The home's central air conditioning module is located on the roof. The water heater was in the garage. The appliances were in working order. The client's files will be locked inside a cabinet in the bedroom hallway. Staff files will be in applicant's office space in bedroom #4. There was adequate food storage space and a supply of three days of perishable foods and a week of non-perishable foods. The home had a trash can for storage of solid waste with a tight-fitting lid. The sharp knives were locked in a cabinet in the bedroom hallway. Medications will be locked in a cabinet in the bedroom hallway. The hot water was at a temperature of 112.8 degrees Fahrenheit. The First Aid kit was accessible and was placed in a kitchen cabinet. There was one fire extinguisher present in the home located in the bedroom hallway. It was observed to be properly charged and inspected by the fire department. There is one handgun in the home carried by applicant #2. LPA observed ammo locked and separated from handgun. Handgun was carried by applicant #2. LPA observed applicant #2's Carry Concealed Weapon (CCW) license. The pool was observed to have a fence and inaccessible to clients in care. There are no cameras in the home. No corrections to be made. An exit interview was conducted, and a copy of this report was provided to applicant Julie Baldonado.


summary: Facility Evaluation - 1 deficiency

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Narrative:
On September 19, 2025, at 11:00AM, Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced at Julie Baldonado Small Family Home (SFH). LPA met with the Licensee 1, Julie Baldonado to conduct a post-licensing inspection. The facility was toured both inside and out with the Licensee. The home is a one-story building with five bedrooms and two full bathrooms which are set up as follows: Bedroom #1- Consisted of two single beds. It sleeps two clients. Bedroom #2- Consisted of one single bed. It sleeps Licensee 2, Raul Serrano. Bedroom #3- Consisted of one single bed. It sleeps one adult in the home. Bedroom #4- Consisted of one single bed. It sleeps Licensee 1, Julie Baldonado. Bedroom #5- Consisted of one single bed. It sleeps one adult in the home. There is also a living room, kitchen, dining area, den, and a backyard. Licensee 1's bedroom is utilized as an office space and is inaccessible to clients in care. Medications, staff, and client files are securely stored in the locked bedroom/office space. The client's bedroom is arranged so that no more than two clients will be in one room. 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 closet space for the clients' belongings. There are combination carbon monoxide/smoke detectors in the client's room, bedroom 2, and the hallway. The three detectors were checked and working properly at the time of this visit. There is a separate carbon monoxide detector located in the hallway behind the kitchen. The carbon monoxide detector was checked and working properly at the time of this visit. **Continued on the next page** There is a tankless water heater located in the laundry room and the temperature is set at 120 degrees Fahrenheit. The appliances were in working order at the time of this visit. Cleaning chemicals are securely stored in a locked storage cabinet in the hallway behind the kitchen. There is adequate food storage space and a supply of two days of perishable foods and seven days of non-perishable foods. The home has a trash can for storage of solid waste with a tight-fitting lid located in the kitchen. The sharp knives were locked in a locked storage cabinet in the hallway behind the kitchen. The First Aid kit was accessible and placed in a cabinet in the hallway behind the kitchen. The first aid kit contained all of the required materials. There was one fire extinguisher present in the home located in the hallway. It was observed to be properly charged and inspected by the fire department. Licensee 1 stated that there is one firearm in the home carried by Licensee 2. LPA observed a locked closet door in Licensee 2's bedroom that Licensee 1 stated contains one safe and one gun box. LPA was unable to gain access to the locked closet to verify the safe and gun box usage. Licensee 1 stated that Licensee 2 takes the firearm with Licensee 2 to work and the firearm is not on the premises at the time of this visit. LPA did observe Licensee 2's Carry Concealed Weapon (CCW) license. LPA also observed other required postings upon entry to the home including the facility license, foster youth personal rights, visitation policy, etc. The backyard was observed to be clean and free of hazards. There is a pool that is observed to have proper iron wrought fencing and is inaccessible to clients in care. There are three cameras in the home. Two cameras are located outside (facing the pool and facing the side gate). There is one camera inside of the home in the living room. LPA inspected two of three staff files for Staff 1 (S1) and Staff 2 (S2). LPA was unable to inspect a staff file for Staff 3 due to the Licensee's not having a staff file for Staff 3 at the time of this inspection. LPA observed that S1, S2 and S3 did not have Watery Safety Certificates. LPA observed that S3 did not have required documents including Cardio Pulmonary Resuscitation Training Certificates, Health Screening Results including Tuberculosis Screening, Training Certificates, etc. LPA inspected two of two client files for Client 1 (C1) and Client 2 (C2). LPA observed required documents including Needs and Services Plan, Signed Personal Rights Forms, Signed Placement Agreements, etc. LPA observed that C1 and C2 files did not contain Tuberculosis Screening Results. **Continued on the next page** LPA discussed bedroom sharing regulations and the importance of bedroom sharing compatibility assessment. LPA further discussed with the Licensee that Program Statement updates are required to include the Camera Policy revisions in accordance with Provider Information Notice, 24-09-CRP. Based on observation and record review, the facility is being cited three Type B violations in accordance with California Code of Regulations (CCR) Personnel Records Section 80066(a) for not maintaining a personnel record for Staff 3, Personnel Requirements Section 80065(e)(2) for not having water safety certificates for Staff 1, Staff 2, or Staff 3, Client Medical Assessments Section 80069(c)(1) for not having Tuberculosis Screening Results for Client 1 or Client 2. Based on observation and record review, the facility is being issued three Technical Violations in accordance with California Code of Regulations (CCR) Section 83087(b)(2) for Client 1 and Client 2 sharing bedrooms which are different sexes and over the age of five, CCR Section 80044(a) for not having inspection authority in Licensee 2's bedroom closet, and CCR Section 80023(d) for not conducting disaster drills at least every six months. An exit interview was conducted and a copy of this report, LIC 809-D, LIC Technical Violations, LIC 811, Children's Residential Program Provider Information Notice 24-09, and appeal rights were reviewed and provided to Licensee 1, Julie Baldonado.

Deficiencies:
80066(a): Personnel Records

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

met_with: Licensee - Julie Baldonado