summary: Facility Evaluation

raw_content:
Narrative:
On February 7, 2024, at 9: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez, conducted an annual/required inspection at the facility and met Facility Manager (FM) Isa Saboor who gave the tour of the facility. Administrator Guadalupe Galindo arrived shortly. There are three clients placed in the facility currently. LPA requested from FM the roster of clients, Personnel Report, Emergency Disaster Plan, and Board Meeting Minutes. Physical Plant The facility is a one-story home with four bedrooms, three bathrooms and attached garage. LPA started the inspection at about 9: AM. LPA together with FM toured the facility inside and outside. LPA observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedures. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and perishable foods for at least two days. There was Emergency foods that could last for several years stored in the garage. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space for the client's clothing. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. The window screens are in good repair and free of dirt. There are lights in the rooms and throughout the facility. The faucets for client's use deliver hot water (117 degrees Fahrenheit) within the temperature allowed under Title Regulations. The fireplace has cover for client's safety. All medications are stored locked in a metal cabinet. There was a working telephone, extra linens, towels, and hygiene supplies for the clients in the facility. The first aid kit was complete and readily available. There were working smoke/carbon monoxide detectors in the facility and fire extinguishers located in the dining area, hallway and in the garage. The delayed egress doors were working. All indoor and outdoor passageways are unobstructed. Client Records LPA reviewed three client records. All client records are available to LPA to inspect, audit upon demand. Client records contain required information including, but not limited to, consent forms, needs and services plan, medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records (MAR). LPA interviewed one client. Staff Records LPA reviewed five staff records. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. The administrator and facility managers meet the required qualification and/or experience requirements. LPA interviewed two staff. No deficiency citation issued at the time of the inspection. A copy of the LIC 809, LIC 809C, and LIC 811s were provided to the administrator.


state: CA

facility_name: INCLUSION SPECIALIZED PROGRAMS LLC - MARISMA

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst Dina Camara conducted a case management inspection on 03/06/24 at 10: AM based on the number of relevant law enforcement contacts reported by the facility, pursuant to Health and Safety Code section 1538.7. During this inspection, 5 out of Direct Care Staff and 3 out of 3 youth files were reviewed. 3 out of Direct Care Staff and 1 out of 3 youth were interviewed. (See the Confidential Names List, LIC 811, 03/06/24). The Plan of Operation including policies and procedures were reviewed. Based on the analysis of the confidential interviews and youth file review including the needs and service assessments, and youth case plans, the licensee uses trauma-informed and evidence-based de-escalation and intervention techniques when staff is responding to the behavior of a youth residing in the facility. Interviews with youth and staff indicate the licensee prohibits calls or threats to call law enforcement as a form of discipline. LPA Camara observed documentation of completed training on policies and procedures on when and how to involve law enforcement in response to an incident. Training records show staff have been trained on Emergency Intervention as required. The licensee is contacting law enforcement in accordance to their Emergency Intervention Plan when there is an immediate risk of serious harm to a child or others. There are no deficiencies cited at this time. A copy of this report was discussed and provided to Administrator Guadalupe Galindo.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Administrator, Guadalupe Galindo


summary: Facility Evaluation

raw_content:
Narrative:
On February 10, 2025, at 9: AM, Licensing Program Analysts (LPAs) Brent Lockhart and John Bonilla, conducted an annual/required inspection at the facility and met Facility Manager (FM) Guadalupe Galindo who gave the tour of the facility. There are three clients placed in the facility currently. LPAs requested from FM the roster of clients, Personnel Report, Emergency Disaster Plan, and Board Meeting Minutes. Physical Plant The facility is a one-story home with four bedrooms, three bathrooms and attached garage. LPAs started the inspection at about AM. LPAs together with FM toured the facility inside and outside. LPAs observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedures. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and perishable foods for at least two days. There was Emergency foods that could last for several years stored in the garage. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space for the client's clothing. Only one client sleeps in a room. No room commonly used for other purposes is being used as a bedroom. The window screens are in good repair and free of dirt. There are lights in the rooms and throughout the facility. The faucets for client's use deliver hot water (105 degrees Fahrenheit) within the temperature allowed under Title Regulations. The fireplace has cover for client's safety. All medications are stored locked in a metal cabinet. There was a working telephone, extra linens, towels, and hygiene supplies for the clients in the facility. The first aid kit was complete and readily available. There were working smoke/carbon monoxide detectors in the facility and fire extinguishers located in the dining area, hallway and in the garage. The delayed egress doors between room 2 and 3 need repair. All indoor and outdoor passageways are unobstructed. This report was amended to record signature. Client Records LPAs reviewed three client records. All client records are available for LPAs to inspect, audit upon demand. Client records contain required information including, but not limited to, consent forms, needs and services plan, medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records (MAR). LPAs interviewed three clients. Staff Records LPAs reviewed three staff records. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. The administrator and facility managers meet the required qualification and/or experience requirements. LPAs interviewed three staff. No deficiency citation issued at the time of the inspection. A technical violation (LIC9102-TV) and a technical assistance (LIC9102-TA) were issued to the facility. A copy of the LIC 809, 809C, LIC9102-TV, LIC9102-TA and LIC 811s were provided to the administrator. This report was amended to record signature

visit_type: Annual

met_with: Guadalupe Galindo - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 26, 2025, at 10: AM, Licensing Program Analyst (LPA) Gilbert Gutierrez conducted a case management inspection to the facility and met Administrator, Guadalupe Galindo. The inspection was a continuation of the annual required inspection conducted by LPAs Brent Lockhart and John Bonilla on 02/10/25. There are 3 clients placed in the facility currently. LPA Gutierrez reviewed 4 staff records (see LIC Confidential Names List dated 02/26/25). All staff subject to criminal records review have been fingerprinted and cleared. There was documentation of the required education and experience requirements and training in the personnel file. However, 2 staff records have less than 20 hours of training on file. Per administrator, both staff have some hours of training from outside sources not yet filed in addition to the hours of training they have on file. The administrator will ensure all records of training will be filed. An exit interview was conducted and a copy of the LIC 809, LIC 811 were provided to the administrator. No deficiency citation issued at the time of the inspection.

met_with: Guadalupe Galindo


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
On 8/27/25 the Department received a complaint alleging facility staff did not prevent a client from being injured by another client. It was alleged that one client (C2) has been targeting another client (C1), causing scratches and marks on the client. Based on the record review, confidential interviews, and additional information gathered the allegation was not corroborated. Facility staff indicated staff will intervene and separate the clients. Staff also created a safety plan and reports all incidents to the client's case managers. Staff indicated the day of the alleged incident staff intervened, separated the clients and provided first aid. Staff indicated the clients are kept separated and staff are always supervising the clients in care. CM indicated having no concerns with supervision and stated the facility reports all incident to CM. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On November 14, 2025, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the Facility Manager/RBT Lead Brotzler Blakely. During the investigation, LPA Cabral interviewed five facility staff (AD, S1, S2, S3, S4). LPA attempted to interview two clients (C1 & C2) on 10/2/25 (see Confidential Names Form LIC 811 dated November 14, 2025). LPA reviewed incident reports, safety plan and termination notice. LPA interviewed one case manager (CM) and attempted to interview another case manager (CM2) on 9/4/25. LPA interviewed others on 10/2/25. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: INCLUSION SPECIALIZED PROGRAMS LLC - MARISMAFACILITY NUMBER: VISIT DATE: 11/14/2025

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

report_type: Complaint Investigation

met_with: Brotzler Blakely, Facility Manager/RBT Lead

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2026, Licensing Program Analysts (LPAs) Brent Lockhart and Gilbert Gutierrez conducted an unannounced annual/required inspection at Inclusion Specialized Programs LLC Group Home (GH). LPAs met with Administrator Guadalupe Galindo. There are four (4) clients currently placed in the facility. LPAs reviewed the following domains: Physical Plant, Emergency Intervention, Disaster Preparedness, Operations, Client and Staffing Records, and Clients with Special Health Care Needs. Physical Plant The facility is a one-story home with four bedrooms, three bathrooms and attached garage. LPAs started the inspection at about AM. LPAs together with FM toured the facility inside and outside. LPAs observed the following: the posted license, emergency disaster plan, personnel schedule, client personal rights, and grievance procedures. The disinfectants, cleaning solutions, sharp objects are locked and inaccessible to clients. The facility maintains supplies of non-perishable foods for at least a week and perishable foods for at least two days. There was Emergency foods that could last for several years stored in the garage. Each bedroom has a single bed in good repair with clean sheets and linens three drawers and closet space for the client's clothing. The window screens are in good repair and free of dirt. There are lights in the rooms and throughout the facility. The faucets for client's use deliver hot water (105 degrees Fahrenheit) within the temperature allowed under Title Regulations. All medications are stored and locked in a cabinet. There was a working telephone, extra linens, towels, and hygiene supplies for the clients in the facility. The first aid kit was complete and readily available. There were working smoke/carbon monoxide detectors in the facility and fire extinguishers located in the dining area, hallway and in the garage. All indoor and outdoor passageways are unobstructed. Client Records LPAs reviewed four client records. All client records are available to LPAs to inspect, audit upon demand. Client records contain required information including, but not limited to, consent forms, needs and services plan, medical assessment, safeguards for cash resources, personal property and valuables, personal rights forms, and medication administration records (MAR). All clients were in school at the time LPAs conducted the inspection Staff Records LPA reviewed four staff records. All staff subject to criminal records review have been fingerprinted and cleared. There is documentation of the required education and experience requirements and training in the personnel file. The administrator and facility managers meet the required qualification and/or experience requirements. LPA interviewed two staff. No deficiency citation issued at the time of the inspection. A copy of the signed LIC 809, LIC 809C, and LIC 811 were provided to the administrator.

met_with: Guadalupe Galindo - Administrator


facility_name: J AND P HOMES/EUDORA

summary: Facility Evaluation

raw_content:
Narrative:
On March 25, 2022 at 8:20 am, Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera met with facility administrator Melba Santos, Noel Meruena Lead Staff and Margie Santos Office Manager to conduct an annual inspection of the facility. There are five clients in care at this time, and no clients were present during this inspection. The facility was inspected inside and out. The home is a single story residence. There are six bedrooms and two bathrooms. The facility will be operating with the capacity of 6. The bedrooms are set up as follows: Bedroom #1 occupied by one resident and has twin size bed, all required linen, mattresses in good condition. Bedroom #2 occupied by one resident and has full size bed, all required linen, mattresses in good condition. Bedroom #3 occupied by one resident and has full size bed, all required linen, mattresses in good condition. Bedroom # Vacant and has twin size bed, all required linen, mattresses in good condition. Bedroom #5 occupied by one resident and has twin size bed, all required linen, mattresses in good condition. Bedroom #6 occupied by one resident and has full size bed, all required linen, mattresses in good condition. All bedrooms contained adequate shelf and closet space for resident's belongings. The staff office contained office supplies, and emergency and disaster plan that was posted. Licensee stated that residents files along with the staff files and are stored in the hallway closet. Medications and the first aid kit are double locked in the hallway closet. Medication logs will be kept with the medications. The bathrooms were clean and in good repair. Water temperature of one of the client bathrooms of the main house of the property was measured at 114 degrees. Continued on 809-C All hazardous items were made inaccessible to areas where residents do not have access. Cleansers/chemicals were stored in a locked cabinet in the garage. Sharp knives were inaccessible and stored in a locked underneath the kitchen sink. The facility's smoke/carbon monoxide detectors in the hallways, bedrooms, kitchen, and recreation room were checked and were operable. There were no guns or weapons in the facility as stated by staff. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Disaster Plan, and current menu. LPA observed a sufficient supply of 7-day non-perishable food for six residents and a sufficient supply of 2-day perishable food. There was a variety of snacks available for residents as well. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There were no deficiencies cited based on the inspection this date. An exit interview was conducted and a copy of this report was reviewed and emailed to Margie Santos.

met_with: Margie Santos


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023 at 10:07 am, Licensing Program Analyst (LPA) Babatunde Aborchie met with facility administrator Melba Santos, Noel Meruena Lead Staf to conduct an annual inspection of the facility. There are four clients in care currently, all clients were present during this inspection. The facility was inspected inside and out. The home is a single-story residence. There are six bedrooms and two bathrooms. The facility is operating with the capacity of 6. The bedrooms are set up as follows: Bedroom #1 occupied by one client (C1), has twin size bed, all required linen, mattresses in good condition. Bedroom #2 occupied by one client (C2), has full size bed, all required linen, mattresses in good condition. Bedroom #3 occupied by one client (C3), has full size bed, all required linen, mattresses in good condition. Bedroom # Vacant and has twin size bed, all required linen, mattresses in good condition. Bedroom # Vacant and has twin size bed, all required linen, mattresses in good condition. Bedroom #6 occupied by one client (C4), and has full size bed, all required linen, mattresses in good condition. All bedrooms contained adequate shelf and closet space for clients belongings. The staff office contained office supplies, and emergency and disaster plan that was posted. Adiistrator stated that clients files along with the staff files and are stored in the hallway closet. Medications and the first aid kit are locked in the kitchen cabinet. Medication logs will be kept with the medications. The bathrooms were clean and in good repair. Water temperature of one of the client bathrooms of the main house of the property was measured at 110.8 degrees. All hazardous items were made inaccessible to areas where residents do not have access. Cleansers/chemicals were stored in a locked cabinet in kitchen under the sink. Sharp knives were inaccessible and stored in a locked cabinet under the kitchen sink. The facility's smoke/carbon monoxide detectors in the hallways, bedrooms, kitchen, and recreation room were checked and were operable. There were no guns or weapons in the facility as stated by Administrator. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Disaster Plan, and current menu. LPA observed a sufficient supply of 7-day non-perishable food for six clients and a sufficient supply of 2-day perishable food. There was a variety of snacks available for residents as well. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There were no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was reviewed and emailed to Melba Santos.

met_with: Melba Santos


summary: Facility Evaluation

raw_content:
Narrative:
On August 1, 2024 at 10:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz met with Margie Santos and Noel Meruena Lead Staf to conduct an annual inspection of the facility. LPA contacted Facility Administrator, Prescila Barrios, and was informed that facility has been converted to an Adult Senior Facility and was licensed as of June 20, 2024 with the Adult Senior Residential Program, License # 306006415. Children's Residential Program License was relinquished as of 6/20/24. An exit interview was conducted, and a copy of this report and LIC 811 dated 08/01/24 were reviewed and provided to Margie Santos.


facility_name: JAR-MILL'S PLACE

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. Resident was hit by a peer while staff intervened and attempted to block the peer from hitting the resident which left a bruise. Based on the above, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 05/21/2021 and conducted by Evaluator Tamara Melikian PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:JAR-MILL'S PLACEFACILITY NUMBER: ADMINISTRATOR:LACY HENNIGANFACILITY TYPE: ADDRESS: E. WHITMORE AVETELEPHONE: (209) 883- CITY:HUGHSONSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 06/02/ UNANNOUNCEDTIME BEGAN: 01: PM MET WITH:Donna Vaughn-GoadyTIME COMPLETED:02: PM 9Resident had access to a dangerous object (lighter). INVESTIGATION FINDINGS: 13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. Resident set a peer's mattress on fire while at the facility a from a lighter that he obtained on a home visit and was able to bring into the facility. Based on the above, the complaint is substantiated. Deficiency on the attached page. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: JAR-MILL'S PLACEFACILITY NUMBER: 507206806

met_with: Donna Vaughn-Goady


raw_content:
Investigation Findings:
13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. The facility had an administrator although the administrator had not been approved by Community Care Licensing and required an exception. Medication logs were provided to this LPA and show that an over the counter medication was given to a resident without a prescription, however verbal authorization was given to the program director by the resident's mother. In addition, a resident left the facility while staff was helping a staff take something out of the facility and the resident was immediately located. Witnesses were unable to reach the facility by telephone, however, this LPA has been able to reach them by telephone. Therefore, the complaint is Unsubstantiated. There are no deficiencies to be cited on this date. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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 STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORTCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE This is an official report of an unannounced visit/investigation of a complaint received in our office on 04/08/2021 and conducted by Evaluator Tamara Melikian PUBLICCOMPLAINT CONTROL NUMBER: 24-CR- FACILITY NAME:JAR-MILL'S PLACEFACILITY NUMBER: ADMINISTRATOR:LACY HENNIGANFACILITY TYPE: ADDRESS: E. WHITMORE AVETELEPHONE: (209) 883- CITY:HUGHSONSTATE: CAZIP CODE: CAPACITY:6CENSUS: 4DATE: 06/02/ UNANNOUNCEDTIME BEGAN: 08: AM MET WITH:Donna Vaugn-GoadyTIME COMPLETED:09: AM 9Staff are not properly trained. Facility did not notify responsible party of an incident. INVESTIGATION FINDINGS: 13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. Documents were requested by this LPA on several occasions and were not received timely, therefore, staff training was unable to be confirmed as sufficient and incidents have not been reported timely to the appropriate parties. Based on the above, the complaint is substantiated. Deficiencies on the attached pages. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian 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: 2 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: JAR-MILL'S PLACEFACILITY NUMBER: 507206806

met_with: Donna Vaugn-Goady


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. Resident became upset at school and in an effort to protect the school nurse, staff performed a restraint. Although staff recalls taking the training, documentation could not be located by the facility and the incident was not reported timely to the appropriate parties. Based on the above, the complaint is substantiated. Deficiencies on the attached pages. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: JAR-MILL'S PLACEFACILITY NUMBER: 507206806

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. Resident's room was searched as one of the residents had been hiding food and during the search, two pills were located in a resident's bedroom and the incident was not reported timely to the appropriate parties. Based on the above, the complaint is substantiated. Deficiencies on the attached pages. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: JAR-MILL'S PLACEFACILITY NUMBER: 507206806


summary: Complaint Investigation - Substantiated

raw_content:
Investigation Findings:
13On 06/02/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Program Director Donna Vaugn-Goady. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date. This LPA obtained documents from the facility and interviewed personnel. Resident set a peer's mattress on fire while at the facility while staff was in another area of the facility and the incident was not reported timely to the appropriate parties. Based on the above, the complaint is substantiated. Deficiencies on the attached pages. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Melanie Krage LICENSING EVALUATOR NAME: Tamara Melikian LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 24-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, E SHAW AVE FACILITY NAME: JAR-MILL'S PLACEFACILITY NUMBER: 507206806


summary: Facility Evaluation

raw_content:
Narrative:
On 05/03/2021, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced case management with the above facility. Met by Program Director Donna Vaughn-Goady. Due to restrictions of Covid-19, this complaint is conducted by tele-inspection with a scan of this document to Ms. Vaughn-Goady with a request for signature and a scan back to this LPA. The purpose of the inspection is to issue a deficiency for the facility failing to supply the department with records in a timely manner. Deficiency on the attached page.


facility_name: JORDAN CHILDREN'S HOME

summary: Facility Evaluation

raw_content:
Narrative:
On April 18, 2025 at 10: AM Licensing Program Analyst (LPA) Linda Haynes met with Jordan Children's Home Group Home Administrator (AD) Jesse Garcia for a component II. LPA discussed corrections needed to Application and program statements. A pre-licensing and component III was scheduled for April 30, 2025 at 11: AM.

met_with: Jesse Garcia


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2025 at 11: AM, Licensing Program Analyst (LPA) Linda Haynes completed a pre-licensing inspection of Jordan Children's Home Group Home. LPA met with Administrator Jesse Garcia who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients in placement. The home is a two-story building with four bedrooms and two bathrooms which are set up as follows: · Bedroom #1 (Clients) has one bed and will sleep one client. · Bedroom #2 (Clients) has one bed and will sleep one client. · Bedroom #3 (Clients) has one bed and will sleep one client. · Bedroom #4 (Clients) has one bed and will sleep one client. · A great room/living room, kitchen, dining area, two bathrooms, a laundry room, storage area, and the backyard. The Client's bedrooms were arranged so that no more than one client 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 client's belongings. There was a smoke detector in every bedroom. The eight smoke detectors were checked, and they were working properly. There is two carbon monoxide detectors in the home one is located in the kitchen and the second is located upstairs in the hallway. The two carbon monoxide detectors were checked and were working properly. The home's central air conditioning module was located on the back porch. () The home's hot water heater was located in hot water closet on the back porch. The appliances were in working order. The client's files will be locked in a cabinet in the living room. There was adequate food storage space. A trash can for storage of solid waste had a tight-fitting lid and was present. The sharp knives are in a locked safe in the kitchen. The medications will be located in a locked cabinet in the kitchen. The hot water int the kitchen measured to be 111.9 degrees Fahrenheit in bathroom one 110.1 degrees Fahrenheit and bathroom two was 109.0 degrees Fahrenheit. The home's First Aid kit was accessible and is located in the kitchen and contained all required supplies. There were two fire extinguishers present in the home. One is located in the kitchen, and one is located upstairs in the hallway. They were observed to be properly charged and inspected by the fire department. There are no firearms in the home as stated by the Administrator. There is no pool or other body of water at the home. The backyard where clients will have access to play is fenced. There are no corrections that need to be made at this time. A Component III was conducted An exit interview was conducted. Application will be forwarded to the Licensing Program Manager for Licensing after all corrections to program statement are received. Administrator stated corrections to program statement will be completed within two weeks.

visit_type: Prelicensing


facility_name: JOURNEY OF HOPE 2

summary: Facility Evaluation

raw_content:
Narrative:
On November 1, 2024 at 10:00 am, Licensing Program Analysts (LPAs) Sarina Buchannan, Orlando Areizaga and Licensing Program Manager (LPM) Rosa Rodriguez conducted an in person office meeting with Applicant #1 and Applicant #2. The purpose of the meeting was to continue the Group Home application process by conducting the Component II orientation. LPAs and LPM reviewed the following documentation below with both Applicants. Journey of Hope II Group Home Application - Capacity of Ambulatory children, ages 7-17 years old. Fire Clearance granted on 9/30/ Financial Verification for 3 months was verified, $90k Administrator Certificate for ADEBOLA SANYAOLU expires on 2/23/ Fees in the amount of $908 were paid on 8/27/ LIC 215 for Adebola is missing Section D & need to verify Section A & B because already a Licensee LIC 309, second page needs to be completed. LIC 401/401A, review operating costs (Laundry & Dry Cleaning, Personal Hygiene) LIC 500, Need Social worker information and signature/date. LIC 503 is also needed for the Social Worker/Behavior Consultant and any additional staff hired LIC 610C, need to add CCL & contact information on section Verification for Social Worker/Behaviors qualifications is needed (Education, Degree, transcripts. Social worker/Behavior Qualifications Job duties are missing. New Hires need to be fingerprinted and associated to the facility in Guardian Guardian is only showing Adebola and Adouibon. Copies of Drivers License for applicants are missing. (continued on LIC 809C) First Aid and CPR certification for applicants and all the new staff is needed. LIC Missing Items still Pending: LIC 503 provider will email health screening for Behavior Consultant and any hired staff Provider will email LPA Buchannan education, degree, and transcripts for Behavior Consultant Provider will email LPA Buchannan First Aid and CPR certification LIC 401/401A provider will review, revise, and email to LPA Buchannan Upcoming: Pre-Licensing will be conducted on November 15, 2024 at 10: AM. Exit interview conducted. A copy of this report was provided to the Applicants.

met_with: Adebola Sanyaolu/Abiodun Sanyaolu, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On 11/15/2024 at approximately 10: AM Licensing Program Analysts (LPAs) Sarina Buchannan, Zaria Turner, Orlando Areizaga and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit for the purpose of conducting a pre-licensing inspection to the above facility. LPAs and LPM met with Licensees, Adebola and Abiodun Sanyaolu and a walk through of the interior and exterior was completed. Physical Plant LPAs and LPM entered from the front door into the entryway that leads into room 1. Room 1 is the living room that has 1 sectional couch, an area rug, a projector, and a Playstation 5. There is a hallway to the right of the living room that has a closet and and the hallways leads to the 3 client bedrooms and 2 bathrooms. In the hallway there is a closet with clean linens, towels, and toiletries. Next to the closet is room 2 which is a shared client bedroom with two 2 twins size beds, 2 dressers, and 2 night stands. Room 2 also has a walk in closet, a small door with a built in ironing board, a bathroom with working fixtures, and water temperature at least 105 degrees. Room 3 is a bathroom with a working shower, toilet, sink, cleaning products locked under the bathroom sink, and running warm water with a temperature of at least 105 degrees. Room 4 is a client bedroom with a twin bed, a night stand, and a dresser. Room 5 is a client bedroom with a twin bed, a night stand, and a dresser. Room 6 is an activity room with 3 couches, large Jenga, books, and connect 4. Room 6 is a dining room with a table, 4 chairs, 2 windows, and all required postings. Room 7 is kitchen with First Aid kits, a locked cabinet for medications, and a fire extinguisher. The kitchen also has a door that leads to the garage. Room 8 is a garage with an office that will store client and staff files, a deep freezer, and will be kept locked at all times. The backyard is gated with an orange tree, two tables, has a walkway leading from the fence entrances. The front yard has the facility trash cans, a non-smoking sign, and 3 cat deterrent devices. The facility does not yet have vehicles and will be using ride sharing until they have actually purchased the vehicles. Report continues on 809-C. (Page 1) The following required documents were posted, Emergency Disaster Plan, Personal Rights and complaint contact numbers. Disinfectants and cleaning solutions are inaccessible to children in care and locked under the bathroom sink. Refrigerator temperature is at or below 45 degrees Fahrenheit. Nonperishable foods one week and fresh perishable foods three days minimum. The Refrigerator is at Degrees and Freezer is at -2 degrees Fahrenheit. There are pots and pans with lids and there are containers to place leftover food. A working cell phone is available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Hot Water between 105-120 degree Fahrenheit. Fire Extinguishers are up to date and in working order. Toilets, wash basins and shower fixtures in good repair, there are no leaks and hot water is accessible. Bedroom required linen and furnishings are fully stocked. The facility is free of vermin. LPAs and LPM observed the following and have made the required recommendations: 2 broken light fixtures in front of the garage. Licensee will replace or remove the 2 broken light fixtures. A clothing line in the front yard and backyard that are potentially hazardous to client safety. Licensee will remove the 2 clothing lines in the front and backyard. Loose bricks in the backyard easily accessible to clients. Licensee will remove unused bricks and store them away from clients. Christmas lights in the backyard that are potentially hazardous to client safety. Licensee will remove the Christmas lights or place them where inaccessible to clients. The front porch steps were observed to be in bad repair with dirt and ripped carpeting. Licensee will clean the front porch steps or remove the carpeting. The outside walls and windows have cobwebs, dirt, and flies. Licensee will power wash and clean walls and windows. The outdoor window screen in the living room to be falling off and in poor repair. Licensee will replace window screen with a new one. The inside walls and ceilings have cracks. Licensee will repair cracks. The shared client bathroom has a trash can without a lid. Licensee will obtain a lid for the trash can or purchase one with a lid to replace the current one. 2 tiles in the kitchen that are cracked. Licensee will replace or repair cracks in tiles. 1 vent in activity room is not fully secured to the wall and is hanging partly off. Licensee will secure vent to the wall. Report continues on 809-C. (Page 2) Facility trashes are in the front yard. Licensee will move the trash to the backyard. A shared client bedroom that does not have blinds or properly fitting curtains. Licensee will purchase blinds and curtains for the clients room. A built in ironing board unsecured in clients bedroom. Licensee will secure the ironing board to the wall. A large crack in the cement foundation in the backyard creating a tripping hazard. Licensee will fill the crack. A follow up pre-licensing inspection is needed. LPA Buchannan will conduct a follow up inspection on 11/22/24 to confirm repairs and recommendations have been made. Exit interview conducted. A copy of this report was provided to Licensees, Adebola and Abiodun Sanyaolu. (Page 3)

met_with: Adebola Sanyaolu,Abiodun Sanyaolu, Licensees


summary: Facility Evaluation

raw_content:
Narrative:
On 12/19/2024 at 10: AM Licensing Program Analyst (LPA) Sarina Buchannan and Licensing Program Manager (LPM) Rosa Rodriguez made an announced visit for the purpose of conducting a follow up pre-licensing inspection to address recommendations made to the above facility on 11/15/24. LPA and LPM met with applicants, Adebola and Abiodun Sanyaolu and a walk through of the interior and exterior was completed. During the follow up inspection the below corrections have been completed: Broken light fixtures in the front of the garage have been replaced The clothing lines in both the front and backyard have been removed Loose bricks in the backyard have been removed Christmas lights in the backyard have been removed Front porch steps have been fixed The outside walls and windows have been power washed The outdoor window screens have been replaced The inside walls and ceilings have been caulked All bathrooms have trash cans with tight fitting lids The tiles in the kitchen have been repaired The vent in the activity room has been secured The facility trash cans have been moved to the side of the home Blinds have been installed and mold/mildew has been cleaned in the double occupancy client bedroom A built in ironing board has been secured to the wall in the double occupancy client bedroom A large crack in the cement foundation in the backyard has been repaired. No follow up inspection is needed. All requested repairs have been completed. The facility will be licensed by January 6, 2025. Exit interview conducted. A copy of this report was provided to applicants Adebola and Abiodun Sanyaolu.

met_with: Adebola Sanyaolu,Abiodun Sanyaolu, Applicants


summary: Facility Evaluation

raw_content:
Narrative:
On November 04, Licensing Program Analyst (LPA) Sarina Buchannan conducted an unannounced visit to the above facility for the purpose of conducting a post-licensing inspection. LPA met with Adebola Sanyoula, Licensee/Facility Administrator, who assisted LPA with a walk through of the inside and outside of the facility. There is one client placed at the facility. During this inspection the physical plant was as follows: Required postings present, License, Accreditation, Personal Rights, Emergency Disaster Plan, and Complaint Hotline. Disinfectants/Cleaning solutions were inaccessible. Menu present and posted, nonperishable foods one week and fresh perishable foods three days minimum. Dining area fully furnished to accommodate client in placement. Bedrooms have required linens, and furniture is adequate and in good repair. Bathroom toilets, wash basin, and shower fixtures are in good repair, no leaks, and water temperature is above 120 degrees Fahrenheit but has required caution sign posted. Soap and paper towels are provided and available to client. Washer and dryer available and in good repair. The client files are maintained locked. Medication was centrally stored, locked, and inaccessible. Temperature of the facility was 71 degrees Fahrenheit. Fire Extinguisher up to date and inspected on April, 2025. Facility is free of vermin and pests. There is a working telephone accessible. Carbon monoxide detectors and smoke detectors are fully functional. The First Aid Kit is fully stocked. Based on a review of the facility's Guardian Roster the staff working during today's inspection are fingerprint cleared and associated to the facility. No concerns for follow up are noted. Exit interview was conducted with Adebola Sanyoula, Facility Administrator, a copy of this report was discussed and provided to the licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On 01/08/ Licensing Program Analyst (LPA) Sarina Buchannan made an announced visit for the purpose of conducting an annual inspection to the above facility. LPA met with Licensee, Adebola Sanyaolu, and a walk through of the interior and exterior was completed. The facility has a capacity of four clients ages 6-17 years old all ambulatory. The facility currently has one client placed. Physical Plant LPA entered from the front door into the entryway that leads into room one. Room one is the living room that has one sectional couch, an area rug, a projector, and a Playstation 5. There is a hallway to the right of the living room that has a closet and and the hallways leads to the three client bedrooms and two bathrooms. In the hallway there is a closet with clean linens, towels, and toiletries. Next to the closet is room two which is a shared client bedroom with two twins size beds, two dressers, and two night stands. Room two also has a walk in closet and an attached bathroom with working fixtures, and water temperature at least 105 degrees. Next to room two is a bathroom with a working shower, toilet, sink, cleaning products locked under the bathroom sink, and running warm water with a temperature of at least 105 degrees. Room three is a client bedroom with a twin bed, a desk, television, and client's personal belongings. Room four is a client bedroom with a twin bed, a night stand, and a dresser. Room five is an activity room with three couches, large Jenga, books, and Connect 4. Room six is a dining room with a table, four chairs, and all required postings. Room seven is kitchen with First Aid kits, a locked cabinet for medications, and a fire extinguisher. The kitchen also has a door that leads to the garage. Room eight is a garage with an office that stores client and staff files, a deep freezer, and is kept locked at all times. (Report continues on 809-C) The backyard is gated with an orange tree, two tables, and has a walkway leading from the fence. The front yard has the facility trash cans, a non-smoking sign, and 3 cat deterrent devices. The facility does not yet have vehicles and will be using ride sharing until they have actually purchased the vehicles. The following required documents were posted, Emergency Disaster Plan, Personal Rights, License and complaint contact numbers. Disinfectants and cleaning solutions are inaccessible to children in care and locked under the bathroom sink. Refrigerator temperature is at least 45 degrees Fahrenheit. Nonperishable foods one week and fresh perishable foods three days minimum. There are pots and pans with lids and there are containers to place leftover food. A working cell phone is available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit fully stocked. Hot Water between 105-120 degree Fahrenheit. Fire Extinguishers are up to date and in working order. Toilets, wash basins and shower fixtures in good repair, there are no leaks and hot water is accessible. Bedroom required linen and furnishings are fully stocked. The facility is free of vermin. The following domains were also reviewed during today's inspection, Operations, Disaster Preparedness, Staffing, Emergency Intervention, and Client Records. A total of 2 staff files and 1 client file was reviewed. LPA also conducted one client interview and two staff interviews. A review of the Licensing Information System indicates the facility is up to date on their facility fees. All the staff were fingerprint cleared to the facility. Based on confidential interviews conducted there are no concerns for follow up noted. Exit interview was conducted with Adebola Sanyaolu, Facility Administrator, and a copy of this report was discussed and provided to the licensee.

met_with: Adebola Sanyaolu,, Licensee


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On April 14, 2026, Licensing Program Analyst (LPA) Sarina Buchannan conducted an unannounced visit to the above Group Home to initiate a Case Management Inspection. LPA Buchannan met with Bola Sanyalou, Licensee/Administrator, who assisted with the inspection. A walk through of the facility was completed, and no deficiencies were observed during the inspection. During a meeting held on March 5, 2026 with Valley Mountain Regional Center (VMRC), Community Care Licensing (CCL), and the Licensee, the Licensee disclosed that there was a 24-ounce can of beer located in the facility fridge by error. Additionally, photographic evidence was supplied to the department which showed the alcohol located in the fridge at the facility. Storing alcohol in a location accessible to youth is a violation of Title Buildings and Grounds regulations regarding the storage of poisons, disinfectants, and other hazardous items. Based on information obtained from the Licensee and VMRC, it was determined that the facility failed to comply with Title 22 by allowing alcohol to be stored in an accessible area. As a result, the facility is being cited under Buildings and Grounds (see LIC 809D). No further investigation is required. This Case Management is now closed. A copy of this report and appeal rights were discussed with and provided to the Licensee.

Deficiencies:
80087(g): Disinfectants, cleaning solutions, posions, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.

met_with: Bola Sanyalou, Licensee/Administrator

title:
1
2
3
4
5
6
7Builidings and Grounds 80087 (g)


facility_name: JOURNEY OF HOPE 3

summary: Facility Evaluation

raw_content:
Narrative:
On 02/11/2025 at approximately 9: AM Licensing Program Analyst (LPA) Sarina Buchannan conducted a virtual meeting with the above facility for the purposes of discussing concerns related to the Journey of Hope 3 new application. Present during the meeting were LPA Sarina Buchannan and Applicant Adebola Sanyaolu. Below is a summary of the topics that were discussed and the answers that were provided by the applicant: 1. Administrator and Board Duties - LPA Buchannan discussed that the Applicant will be a board member, president, and facility administrator for this and two other facilities. Licensee confirmed that they will be hiring another administrator to take over one of the three facilities. They also stated that they have another individual who has the required qualification and will be acting as a backup when needed. 2. Form Updates - Applicant stated they will update all discrepancies on the following forms: · LIC 200 - Missing one of their current facilities on page 2. · LIC 215 - Prior licensor status boxes need to be marked yes for A and B. · LIC 400 - Amount is for 1,000 which does not match the LIC 402. · LIC 402 - Amount is for 1,500 which does not match the LIC 400. Applicant stated they will lower this amount to 1,000 to match the LIC 400. · LIC 401 - Building and Furniture repairs are estimated at 0 dollars. Applicant shared that HOA would do repairs. They will update the form to reflect cost of furniture repairs. (Report continued on LIC 809C) LIC 403A - state applicants bank has 32,000 in funds but was not verified on the LIC 404. · LIC 404 - Funds were verified to be 2,476 which does not show 3x operating cost. Funds reflected on the LIC 403A need to be verified on this form by the bank. Applicant stated they will update this form to match the 403A. · LIC 9165 - The Board Member forms need to be updated to match new facility and more current dates. Licensee stated they will submit updated forms with current year and new facility information. 3. Required Funds to Operate the Group Home - LPA Buchannan informed Applicant that they will need to show 3x operating cost for approval. Applicant was informed that if the application is withdrawn at this time due to required operating cost not being met, they can re-apply again at any time after. If the department denies the application the applicant will not be able to re-apply until after 1 year from denial. LPA informed the Applicant the process to withdraw. LPA informed Applicant that the application fees are non-refundable and if they wish to apply again, they will need to pay new fees. LPA thanked Applicant for their time and concluded the Virtual Meeting. A copy of this report was e-mailed to the applicant for signature.

met_with: Adebola Sanyalou, Applicant


facility_name: JOURNEY OF HOPE XXI INC

summary: Facility Evaluation

raw_content:
Narrative:
On August 15, Licensing Program Analyst (LPA) Jean Stidman conducted an announced pre-licensing facility inspection and met with Adebola Sanyaolu, Facility Administrator, and Abiodun Sanyaolu, House Manager. LPA, Administrator and House Manager conducted a joint inspection of the inside and outside of the facility. The group home is requesting to be licensed for a capacity of 4 ambulatory clients, ages seven to 17 years old. There were no clients in care at the time of the inspection. Clients with Special Health Care Needs (SHCN) will not be admitted. The home is a single-story home with two double occupancy bedrooms and one bathroom for the clients and one bedroom and bathroom for the House Manager. The facility backyard has a deck off the sliding glass door and is enclosed with a fence. The front yard is free of clutter; and the passageways and egress were unobstructed. The backyard fence along the right side of the house has bent/broken boards and is leaning over. The right side of the house has debris that needs to be removed and the fence needs to be repaired prior to being licensed. The backyard is missing toy/activity equipment and seating for clients. LPA observed a working Carbon Monoxide detector in the hallway and working smoke alarms in each bedroom, and the living area. LPA observed that there was a fire extinguisher in the kitchen that was charged in February 2022. The house was clean, safe, sanitary and in good repair. LPA observed the facility has at least a 7-day supply of non-perishable food, a 3-day supply of perishable food and the freezer was stocked with frozen foods. LPA observed that there were ample dishes, cups, utensils, and items used for cooking meals in the kitchen. Sharp knives are to be kept in a locked cabinet in the kitchen. Cleaning supplies and chemicals are to be stored under the kitchen sink ina locked cabinet. Menus and meal schedules were posted in the kitchen. LPA observed that the medications, multiple first aid kits are stored in a locked cabinet in the kitchen. The client and staff files are kept locked in a file cabinet in the dining room. This client and extra hygiene products are kept locked in the hall cabinet. LPA observed that there was a laundry area, including a washer and dryer, in the garage. LPA observed the hall closets have stored life vests, extra bedding, comforters, extra towels and wash cloths. The home has an Emergency Disaster Plan, Client Personal Rights and floorplan are posted in the entrance hallway and the floorplans are posted in each client bedroom. The Grievance policy is posted in the living room and the calendar of activities is posted in the kitchen. LPA observed that the bedrooms have two single beds with a mattress cover and pad, fitted sheet, top sheet and blanket and bedspread, a drawer for each client's personal items, night stand, lamp, and ample closet area. The living room consisted of two couches, a desk, a television and game system. The facility has a working landline phone located in the living room. LPA also observed activity supplies in the living room of board games and video games for the clients. There was one bathroom in the hall for the clients that is equipped with a shower/tub combination and a shower curtain for privacy. The bathroom has a working toilet, shower, and sink faucet and has soap and paper towels for hand washing. The second bathroom was located at the House Manager's bedroom and is not for clients. The water temperature was measured to be at 90.5 degrees Fahrenheit the water temperature was turned up during the inspection Facility will adjust the water temperature until it reaches between 105-120 degrees Fahrenheit. LPA observed that the dining area was off of the kitchen and the table was set up for placement of four and contained four chairs along with two barstools at the kitchen counter. An exit interview was conducted with Adebola Sanyaolu, Facility Administrator, and Abiodun Sanyaolu, House Manager a copy of this report was left with Adebola Sanyaolu, Facility Administrator, and Abiodun Sanyaolu, House Manager.

met_with: Adebola and Abiodun Sanyaolu


summary: Facility Evaluation

raw_content:
Narrative:
On August 22, Licensing Program Analyst (LPA) Jean Stidman conducted an announced pre-licensing facility inspection and met with Adebola Sanyaolu, Facility Administrator, and Abiodun Sanyaolu, House Manager. LPA, Administrator and House Manager conducted a joint inspection of the of the facility to inspect technical violation corrections. The group home is requesting to be licensed for a capacity of 4 ambulatory clients, ages seven to 17 years old. There were no clients in care at the time of the inspection. Clients with Special Health Care Needs (SHCN) will not be admitted. The backyard fence on both sides of the house has been repaired, the debris in the backyard along the right side of the house has been removed, the hot water temperature is 109 degrees Fahrenheit. The facility has supplies, equipment and reading material necessary to implement the planned indoor and outdoor activities and has an outdoor seating area for the clients. Facility cited violation of California Health and Safety Code 1565(a)(7)(A) and 1565(a)(7)(E) technical violations. The facility will have 30 days from the date of the inspection on 8/22/22 to complete the corrections. An exit interview was conducted with Adebola Sanyaolu, Facility Administrator, and Abiodun Sanyaolu, House Manager a copy of this report was left with Adebola Sanyaolu, Facility Administrator, and Abiodun Sanyaolu, House Manager. The facility is granted it's provisional license effective 8/22/2022.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jean Stidman made an unannounced Post Licensing inspection on 6/26/23 at 12:00pm. During the inspection LPA met with Abiodun Sanyaolu House Manager who assisted with the inspection. LPA conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection is one staff/no kids present, Number of staff interviewed _2_ Number of clients interviewed N/A. LPA observed # _3_bedrooms, # _2_bathrooms. LPA observed the sliding glass door was replaced during the inspection. LPA inspected and/or reviewed the following: Physical Plant Posting of license_X_ Personal Rights_X_ Disinfectants/Cleaning solutions inaccessible_X_ Refrigerator Temperature at or below 45 degrees F _39 degrees_ Freezer Temperature at or below 0 degrees_-9 degrees Nonperishable Foods one week and fresh perishable foods two days minimum_X_ Menu present and posted__X_ Working telephone _X_Carbon monoxide detector_X_ Smoke Detector _X_ First Aid Kit fully stocked_X__ Common Room available__X_ Dining area (enough seating, furniture good condition, not broke or damaged) _X_ Medication centrally stored, locked/inaccessible N/A Office (locked and privacy) N/A Hot Water between 105-120 degree F (Properly labeled if over 125 degree F)_107 degrees Fire Extinguisher (note inspection date) charged February 2023_ Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _X_ Soap and Paper towels __X_ Laundry Facilities(available)_X_ Bedrooms-required linen and furnishings _X__Motor Vehicle properly maintained, lights, tires, registration/insurance and working seat belts_N/A_ Facility free of vermin _X_ Operations Complaint Procedures For Youth Reviewed _x_ Board Minutes Reviewed_X_ Disaster Preparedness Fire Drills conducted and documented X Disaster preparedness supplies verified _X Emergency Intervention Review of manual restraint log N/A Staff training _X_ Staffing/Volunteers Number of Staff files reviewed _3__Criminal record clearances verified 3___ First Aid Certificate__3_ Certified Administrators certificate valid and current__X_ Job title/qualification verified _X_ Hours required training verified _N/A_as the facility does not have any paid staff. Client Records Number of Clients files reviewed N/A (the facility does not have any clients) The following items were reviewed for compliance in the regional office prior to the facility inspection: Annual fees, Administrator Certificate for: Adebola Sanyaolu, Emergency Disaster Plan (per H&S Code 1565), LIC500, LIC610C and LIC308. An exit interview was conducted and a copy of this report was left with Abiodun Sanyaolu House Manager.

met_with: Abiodun Sanyaolu House Manager


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jean Stidman made an unannounced Annual inspection on 8/14/23 at 11:45am. During the inspection LPA met with Adeobla Sanyaolu, Administrator, who assisted with the inspection. LPA conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection is one staff/no kids present, Number of staff interviewed _2_ Number of clients interviewed N/A. LPA observed # _3_bedrooms, # _2_bathrooms. LPA inspected and/or reviewed the following: Physical Plant Posting of license_ok_ Personal Rights_ok_ Disinfectants/Cleaning solutions inaccessible_ok_ Refrigerator Temperature at or below 45 degrees F _39 degrees_ Freezer Temperature at or below 0 degrees_-5 degrees Nonperishable Foods one week and fresh perishable foods two days minimum_ok_ Menu present and posted__ok_ Working telephone _ok_Carbon monoxide detector_ok_ Smoke Detector ok First Aid Kit fully stocked_ok__ Common Room available_ok_ Dining area (enough seating, furniture good condition, not broke or damaged) _ok Medication centrally stored, locked/inaccessible N/A Office (locked and privacy) N/A Hot Water between 105-120 degree F (Properly labeled if over 125 degree F)_105 degrees Fire Extinguisher (note inspection date) charged February 2023_ Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _ok_ Soap and Paper towels ok_ Laundry Facilities(available)_ok_ Bedrooms-required linen and furnishings _ok_Motor Vehicle properly maintained, lights, tires, registration/insurance and working seat belts_N/A_ Facility free of vermin _ok_ Operations Complaint Procedures For Youth Reviewed _ok_ Board Minutes Reviewed_ok_ Disaster Preparedness Fire Drills conducted and documented ok Disaster preparedness supplies verified ok Emergency Intervention Review of manual restraint log N/A Staff training _ok_ Staffing/Volunteers Number of Staff files reviewed _3__Criminal record clearances verified 3___ First Aid Certificate__3_ Certified Administrators certificate valid and current__ok_ Job title/qualification verified _ok_ Hours required training verified _N/A_as the facility does not have any paid staff. Client Records Number of Clients files reviewed N/A (the facility does not have any clients) The following items were reviewed for compliance in the regional office prior to the facility inspection: Annual fees, Administrator Certificate for: Adebola Sanyaolu, Emergency Disaster Plan (per H&S Code 1565), LIC500, LIC610C and LIC308. An exit interview was conducted and a copy of this report was left with Adeobla Sanyaolu, Administrator.

met_with: Adeobla Sanyaolu, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 8/14/ Licensing Program Analyst (LPA) Jean Stidman met with Adeobla Sanyaolu, Administrator (AD), and Abiodun Sanyaolu, House Manager (HM), for the purpose of providing technical assistance for the facility's program statement and plan of operation. LPA, AD and HM reviewed the revisions submitted in May 2023 and discussed the revisions still needed. LPA, AD and HM also reviewed Title 22 regulations as needed for the necessary revisions. LPA provided a copy to AD and HM of the revisions needed.


summary: Facility Evaluation

raw_content:
Narrative:
On 8/7/ Licensing Program Analysts (LPAs) Jean Stidman and Elena Gonzalez-Soto conducted an Annual Inspection. LPAs inspected the facility inside and outside. When LPAs arrived there was one staff and three clients present then during the inspection the Administrator arrived. During the inspection LPA met with Adebola Sanyaolu, Administrator who assisted with the inspection. LPA conducted a walk-through of the facility. Number of staff interviewed two Number of clients interviewed zero LPA observed # 3 bedrooms, #23 bathrooms LPAs inspected and/or reviewed the following: Physical Plant Posting of license_X_ Personal Rights__X___ Disinfectants/Cleaning solutions inaccessible__X___ Refrigerator Temperature at or below 45 degrees F 27 degrees Freezer Temperature at or below 0 degrees_0 degrees F Nonperishable Foods one week and fresh perishable foods two days minimum__X___ Menu present and posted__X__ Working telephone __X_ Carbon monoxide detectors __X_Smoke Detector _X__ First Aid Kit fully stocked_X__ Common Room available__X__ Dining area (enough seating, furniture good condition, not broke or damaged) __X_ Medication centrally stored, locked/inaccessible _X_ Hot Water between 105-120 degree F (Properly labeled if over 125 degree F__110 degrees_ Fire Extinguishers inspected July 2024. Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _x Soap and Paper towels __X_ Laundry Facilities(available) __X___ Bedrooms-required linen and furnishings __X___ Motor Vehicle properly maintained, lights, tires, registration/insurance and working seat belts_X__ Facility free of vermin _X__ Bedroom (required bedding/furniture, furniture in good repair) __X_Operations Complaint Procedures For Youth Posted _X__ Board Minutes Reviewed __X_Disaster Preparedness Disaster and mass casualty plan updated and available __X__ Quarterly Drills conducted and documented__x__ Disaster preparedness supplies verified __X___Emergency Intervention Review of manual restraint log _X_ Staff training _X__Staffing/Volunteers Number of Staff files reviewed _three Criminal record clearances verified_three_First Aid Certificate__three Certified Administrators certificate valid and current__X_ Client Records Number of Clients files reviewed_three Individual Progam Plan_three Centrally Stored Medication and log reviewed _three Psychotropic Medication and log reviewed _three Cash Resources__three The following items were reviewed for compliance: Annual fees, Administrator Certificate, Annual Emergency Intervention Log, LIC500 and LIC610C. Exit interview conducted and a copy of this report was left with Adebola Sanyaolu, Administrator.

met_with: Adebola Sanyaolu, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jean Stidman made an unannounced Annual inspection at 9:15am. During the inspection LPA met with Adebola Sanyaolu, Administrator, who assisted with the inspection. LPA conducted a walk-through of the facility. There was one staff present and no children at the beginning of the inspection. Three other staff arrived during the inspection. Number of staff interviewed _two Number of clients interviewed _one LPA observed # 2 children's bedrooms and 1 children's bathroom and one staff bedroom and bathroom. LPA inspected and/or reviewed the following: Physical Plant Posting of license_X_ Personal Rights__X___ Disinfectants/Cleaning solutions inaccessible__X_Refrigerator Temperature at or below 45 degrees F 43 degrees Freezer Temperature at or below 0 degrees_0 degrees F Nonperishable Foods one week and fresh perishable foods two days minimum__No___ Menu present and posted__X__ Working telephone __X_ Carbon monoxide detectors __X_Smoke Detector _X__ First Aid Kit fully stocked_X__ Common Room available__X__ Dining area (enough seating, furniture good condition, not broke or damaged) __X_ Medication centrally stored, locked/inaccessible _X_ Hot Water between 105-120 degree F (Properly labeled if over 125 degree F__119 degrees_ Fire Extinguishers inspected Feb 2025. Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _x Soap and Paper towels __X_ Laundry Facilities(available) __X__ Bedrooms-required linen and furnishings __X___ Motor Vehicle properly maintained, lights, tires, registration/insurance and working seat belts_X__ Facility free of vermin _X__ Bedroom (required bedding/furniture, furniture in good repair) __X___ No Video Cameras were observed in the facility. Operations Complaint Procedures For Youth Posted _X__ Board Minutes Reviewed __X__Disaster Preparedness Disaster and mass casualty plan updated and available __X__ Quarterly Drills conducted and documented__x__ Disaster preparedness supplies verified __X___Emergency Intervention Review of manual restraint log _No Restraints were observed_ Staff training _X___Staffing/Volunteers Number of Staff files reviewed _five Criminal record clearances verified _five_ First Aid Certificate__five__ Certified Administrators certificate valid and current__X_ Client Records Number of Clients files reviewed five Individual Program Plan five Centrally Stored Medication and log reviewed three Psychotropic Medication and log reviewed three__Cash Resources_four The following items were reviewed for compliance: Annual fees, Administrator Certificate for: Adebola Sanyaolu, Administrator, Emergency Intervention Log, LIC500 and LIC610C. The facility is cited violation of California Code of Regulations, Title 22, Division 6, regulation 80026(h)(1)(A)(h) Safeguards for Cash Resources, Personal Property, and Valuables of Residents and 80069(a) Client Medical Assessment. An exit interview was conducted and a copy of this report was left with Adebola Sanyaolu, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 6/6/ Licensing Program Analyst (LPA) Jean Stidman conducted an unannounced inspection. At the time of LPA's arrival there were no children in placement and only one adult who resides in the home was at the facility. LPA observed the sliding glass door handle frame comes off the glass door, the lawn is full of weeds/grass that is approximately two feet tall and the home is cluttered with items on the dining room table, living room table and TV stand and electrical cords are accessible under the glass desk in the living room. LPA observed the clutter in the living room and kitchen table were cleaned up and the lawns were mowed during the inspection. During the inspection Abiodun and Adebola Sanyaolu arrived at the facility. Facility is cited California Code of Regulations Title 22, Division 6, Chapter 1 regulation 80087(a) Buildings and Grounds. Exit interview conducted and a copy of this report was left with Adebola Sanyaolu.

met_with: Abiodun and Adebola Sanyaolu


summary: Facility Evaluation

raw_content:
Narrative:
On 8/7/ Licensing Program Analysts (LPAs) Jean Stidman and Elena Gonzalez-Soto conducted a case management inspection regarding an incident that occurred on 7/25/24. LPAs inspected the facility inside and outside. When LPAs arrived there was one staff and three clients present then during the inspection the Administrator arrived. LPA Stidman discussed with the Administrator that this incident was not reported to Community Care Licensing Division (CCLD). LPAs reviewed one client file and obtained documentation of Data Collection Sheets dated 7/3/24-7/29/24 and pictures via email. LPAs interviewed two staff and attempted to interview three children. The facility is cited for violation of Title 22, Division 6, Chapter 1, Article 06. Continuing Requirements, Regulation 80061(b)(1)(E) Reporting Requirements. Further Investigation is needed. Exit interview conducted and a copy of this report was left with Adebola Sanyaolu, Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On 3/3/26 at 3:30pm Licensing Program Analyst (LPA), Jean Stidman conducted a case management inspection at the facility. LPA met with Adebola Sanyaolu, Administrator. LPA obtained a copy of one child's psychotropic medication logs and requested the psychotropic medication logs for the three other youth in care and be sent by email to LPA by the end of business on 3/5/26. LPA conducted an inspection of the facility and observed the medication logs are missing signed parental authorizations form for psychotropic medications being given for three children. Facility cited violation of California Code of Regulations. Title 22, Division 6, regulation 84070(b)(15) Children's Records. Further Investigation is needed. A copy of this report and appeal rights was left with Adebola Sanyaolu, Administrator


facility_name: JOY'S SPECIAL CARE, LLC

raw_content:
Narrative:
On 11/05/2024, Community Care Licensing (CCL) received an allegation that due to a lack of supervision, minors sustained unexplained injuries. It was specifically reported that C1 arrived at school with redness on the left side of C1's forehead and that both the GH and school deny any wrongdoing. During the investigation, multiple confidential interviews determined that C1's injury may have occurred while being transported to school on the school bus but this was not confirmed. In addition, another confidential interview disclosed that when C1 left the facility that day, the injury was not there. Multiple confidential interviews disclosed that there is no concern for lack of supervision at the GH. Based on confidential interviews, the allegation that due to a lack of supervision, minors sustained unexplained injuries is unsubstantiated. The allegation may have happened or be valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Christian Irasusta, Lead Direct Support Professional (DSP).

Investigation Findings:
13On 06/30/2025, at 4:00PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Joy's Special Care, LLC Group Home (GH) and met with Cristian Irasusta, Lead Direct Support Professional (DSP) to deliver the investigative finding for the allegation listed above. On 11/14/2024, LPA C. Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. In addition, on 05/15/2025, LPA M. Chavez conducted an additional visit at the GH. LPA Chavez conducted interviews with staff (S1 & S2), C1 and C2's Regional Workers, and C1 and C2's School Nurse. LPA Chavez attempted to conduct interviews with C1 and C2 but was unable to due to C1 and C2 being non-verbal. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: JOY'S SPECIAL CARE, LLCFACILITY NUMBER: VISIT DATE: 06/30/2025

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


summary: Complaint Investigation - Unsubstantiated - 3 allegations

raw_content:
Narrative:
**Amendment* On 11/06/2024, Community Care Licensing (CCL) received an allegation that facility staff locked minors in their room. It was specifically reported that staff at the group home have reported that the children can be a lot to handle and that sometimes they lock the children in a room. During the investigation, multiple confidential interviews disclosed that staff do not lock C1 and C2 in their bedroom. In addition, a confidential interview disclosed that staff have never mentioned anything about C1 and C2 being locked in their bedroom. Furthermore, a confidential interview disclosed that during showering, bathroom door shall be locked to avoid C1 and C2 running out of the bathroom while wet and naked. LPA did not receive any further information. Based on confidential interviews, the allegation that facility staff locked C1 and C2 in their room may have occurred, however, there was not a preponderance of evidence to prove that the alleged violation, therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Christian Irasusta, Lead DSP.

Investigation Findings:
On 06/30/2025, at 4:00PM, Licensing Program Analyst (LPA) Maya Chavez conducted an unannounced visit to Joy's Special Care Group Home (GH) and met with Christian Irasusta, Lead Direct Support Professional (DSP) to deliver the investigative finding for the allegation listed above. On 11/14/2024, LPA C. Anderson conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. In addition, on 05/15/2025, LPA M. Chavez conducted an additional visit at the GH. LPA Chavez conducted interviews with staff (S1 & S2), C1 and C2's Regional Workers, and C1 and C2's School Nurse. LPA Chavez attempted to conduct interviews with C1 and C2 but was unable to due to C1 and C2 being non-verbal. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: JOY'S SPECIAL CARE, LLCFACILITY NUMBER: VISIT DATE: 06/30/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion:
- Unsubstantiated Estimated Days of Completion:
- Unsubstantiated Estimated Days of Completion: 0


raw_content:
Narrative:
Confidential interviews reported that staff will intervene during times of aggression to avoid C1 and/or C2 harming themselves. Confidential interviews reported that staff from the facility are not providing sufficient care for C1 and C2 due to inadequate supervision. Confidential interviews denied that any staff had harmed any clients in care at the group home. Based on inconsistent confidential interviews, the allegation that a lack of supervision resulted in minors (C1, C2, C3, and C4) sustaining unexplained injuries while in care is unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report, LIC 9099, along with the appeal rights, was discussed and provided to Joy Irasusta, Administrator.

Investigation Findings:
13On October 15, 2025, at 11: AM, Licensing Program Analyst (LPA) Cynthia Robinson conducted an unannounced visit to Joy's Special Care, LLC Group Home (GH) to deliver the investigative findings for the allegation listed above. On 03/26/2025, LPA Lucero Jauregui conducted a health and safety inspection at the GH, and no immediate health and safety hazards were observed. LPA obtained documents pertinent to the investigation. LPA Jacob Salem interviewed Staff 1 (S1) and Relatives (R1 and R2). LPA Robinson interviewed clients (C1, C2, C3, and C4), and staff (S2, S3, and S4). On 03/25/2025, Community Care Licensing received an allegation that a lack of supervision resulted in minors (C1 and C2) sustaining unexplained injuries while in care. Confidential interviews reported that C1 and C2, at times, have aggressive behaviors that can cause self-inflicted marks. (Continued on LIC 9099C..) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Cynthia Robinson LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 08-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SAN DIEGO RO, METROPOLITAN DR. # FACILITY NAME: JOY'S SPECIAL CARE, LLCFACILITY NUMBER: VISIT DATE: 10/15/2025

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

met_with: Joy Irasusta, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On March 17, 2023, at 8: AM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an announced inspection. LPA Meza-Gonzalez met with Program Administrator (PA) Jocelyn Irasusta. The purpose of the inspection is to conduct a pre-licensing inspection. This applicant is applying for a group home license with the capacity of 4 ambulatory youths from four to seventeen. The applicant will be receiving Regional Center youth only. LPA Meza-Gonzalez toured the facility with PA Irasusta. The facility is a one-story house with three bedrooms, two bathrooms, two living rooms, a kitchen, a dining room, and a garage. The facility is set up as follows: The first living room has a TV, two couches, a table with three chairs, a coffee table, and a coat closet. LPA Meza-Gonzalez observed games and toys for the client's use. The second living room has two couches, a floor lamp, and a TV. The kitchen has two counter-high chairs, a refrigerator, a stove, a microwave, a stove, and a dishwasher. LPA Meza-Gonzalez observed the stove, microwave, refrigerator, and dishwasher are in working condition. Sharp knives will be inaccessible and stored in a locked cabinet under the kitchen sink. LPA Meza-Gonzalez observed seven days of non-perishable food and two days of perishable food. The dining room has a table and four chairs. The bedrooms are set up as follows: Bedroom # 1: designated for one client, one twin bed, a nightstand, and closet space. Bedroom #2: designated for one client, one twin bed, a nightstand, and closet space. Bedroom #3: designated for two clients, two beds, two nightstands, and closet space. Bedroom #1 and Bedroom #2 share a bathroom in the hallway. Bedroom #3 has a bathroom. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The hot water was measured to be 120 degrees Fahrenheit, which is between Community Care Licensing regulations of 105 degrees Fahrenheit to 120 degrees Fahrenheit. See page 2 - LIC809C LPA Meza-Gonzalez observed additional bed linen and towels for clients' use. The washer and dryer are located in the garage. LPA Meza-Gonzalez observed cleaning supplies locked in a cabinet in the garage. The garage is designated as the staff office and will be locked when not in use. Clients' files will be stored in the garage in a locked cabinet. Clients' medication will be stored in a locked cabinet in the garage. The staff files are located off-premises. The staff and clients will always be available to Community Care Licensing as requested The backyard has a table with five chairs, a patio cover, and a shed. The shed has gardening equipment and is locked. The facility's smoke detectors and carbon monoxide detectors were tested and were observed to be in working order; the fire extinguisher is properly charged and serviced. The facility has a fully equipped first aid kit and a first aid manual. The facility does not have cameras. The applicants stated there were no weapons in the home. LPA Meza-Gonzalez observed the following required forms were posted in the facility: menu, personal rights form, grievance/complaint policy, visitation policy, house rules, disaster plan, plan activities, and facility sketch. The fire clearance has been approved. The applicant has been informed that the address of this facility is available to the public. All special incident reports (SIRs) will be sent via e-mail to: cclpaccr@dss.ca.gov. LPA Meza-Gonzalez conducted a component III orientation, a continuing requirement regulation review, with an emphasis on the facility operation and commonly found problem areas. The orientation provided PA Irasusta with sufficient information to operate the facility within substantial compliance, as well as, how to avoid common problem areas for the facility operation. The applicant understands that once the license is approved, all employees and volunteers shall have an approved criminal record clearance for Community Care Licensing and be associated with this facility. Based on this pre-licensing inspection, the facility is in compliance according to Title Regulations. After a final file review, the facility will be submitted for licensure. An exit interview was conducted, and a copy of this report was given to PA Irasusta.

met_with: Jocelyn Irasusta


summary: Facility Evaluation

raw_content:
Narrative:
On May 11, 2023, at 12: PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted an unannounced inspection. LPA Meza-Gonzalez met with Program Administrator (PA) Jocelyn Irasusta. The purpose of the inspection is to conduct a post-licensing inspection. The facility is licensed for a capacity of four ambulatory youths from four to seventeen for Regional Center youths only. There are no clients in care at the time of inspection. LPA Meza-Gonzalez toured the facility with PA Irasusta. The facility is a one-story house with three bedrooms, two bathrooms, two living rooms, a kitchen, a dining room, and a garage. The facility is set up as follows: The first living room has a TV, two couches, a table with three chairs, a coffee table, and a coat closet. LPA Meza-Gonzalez observed games and toys for the client's use. The second living room has two couches, a floor lamp, and a TV. The kitchen has two counter-high chairs, a refrigerator, a stove, a microwave, a stove, and a dishwasher. LPA Meza-Gonzalez observed the stove, microwave, refrigerator, and dishwasher are in working condition. Sharp knives will be inaccessible and stored in a locked cabinet under the kitchen sink. LPA Meza-Gonzalez observed seven days of non-perishable food and two days of perishable food. The dining room has a table and four chairs. The bedrooms are set up as follows: Bedroom # 1: designated for one client, one twin bed, a nightstand, and closet space. Bedroom #2: designated for one client, one twin bed, a nightstand, and closet space. Bedroom #3: designated for two clients, two beds, two nightstands, and closet space. Bedroom #1 and Bedroom #2 share a bathroom in the hallway. Bedroom #3 has a bathroom. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The hot water was measured to be 120 degrees Fahrenheit, which is between Community Care Licensing regulations of 105 degrees Fahrenheit to 120 degrees Fahrenheit. See LIC809c page LPA Meza-Gonzalez observed additional bed linen and towels for clients' use in the hallway closet. The washer and dryer are located in the garage. LPA Meza-Gonzalez observed cleaning supplies locked in a cabinet in the garage. The garage is designated as the staff office and will be locked when not in use. Clients' files will be stored in the garage in a locked cabinet. Clients' medication will be stored in a locked cabinet in the garage. The staff files are located off-premises. The staff and clients' files will always be available to Community Care Licensing as requested The backyard has a table with five chairs, a patio cover, and a shed. The shed has gardening equipment and is locked. The facility's smoke detectors and carbon monoxide detectors were tested and were observed to be in working order; the fire extinguisher is properly charged and serviced. The facility has a fully equipped first aid kit and a first aid manual. The facility does not have cameras. PA Irasusta stated there were no weapons in the home. LPA Meza-Gonzalez observed the following required forms were posted in the facility: menu, personal rights form, grievance/complaint policy, visitation policy, house rules, disaster plan, plan activities, and facility sketch. The fire clearance has been approved. The applicant has been informed that the address of this facility is available to the public. All special incident reports (SIRs) will be sent via e-mail to: cclpaccr@dss.ca.gov. Based on this post-licensing inspection, the facility is in compliance according to Title Regulations. An exit interview was conducted, and a copy of this report was given to PA Irasusta.


summary: Facility Evaluation

raw_content:
Narrative:
On March 6, 2024, at 10: AM, Licensing Program Analyst (LPA) Carol Anderson conducted an unannounced annual/required inspection. LPA met with Program Administrator (PA)/Licensee Jocelyn Irasusta. Currently there are four clients currently in placement. Four clients were unavailable to be interviewed. LPA interviewed two staff. LPA toured the facility with Licensee/PA Irasusta. The facility is a one-story house with three bedrooms, two bathrooms, two living rooms, a kitchen, a dining room, and a garage. The facility is set up as follows: The first living room has a TV, two couches, a table with three chairs, a coffee table, and a coat closet. LPA observed games and toys for the client's use. The second living room has two couches, a floor lamp, and a TV. The kitchen has two counter-high chairs, a refrigerator, a stove, a microwave, a stove, and a dishwasher. LPA Anderson observed the stove, microwave, refrigerator, and dishwasher are in working condition. Sharp knives will be inaccessible and stored in a locked cabinet under the kitchen sink. LPA Anderson observed seven days of non-perishable food and two days of perishable food. The dining room has a table and four chairs. The bedrooms are set up as follows: Bedroom # 1: designated for one client, one twin bed, a nightstand, and closet space. Bedroom #2: designated for one client, one twin bed, a nightstand, and closet space. Bedroom #3: designated for two clients, two beds, two nightstands, and closet space. Bedroom #1 and Bedroom #2 share a bathroom in the hallway. Bedroom #3 has a bathroom. Each room has adequate clean linens, pillows, blankets, comforters, mattress pads, and mattresses. The hot water was measured to be 112 degrees Fahrenheit, which is between Community Care Licensing regulations. LPA Anderson observed additional bed linen and towels for clients' use in the hallway closet. The washer and dryer are in the garage. LPA Anderson observed cleaning supplies locked in a cabinet in the garage. The garage is designated as the staff office and will be locked when not in use. Clients' files will be stored in the garage in a locked cabinet. Clients' medication will be stored in a locked cabinet in the garage. The staff files are located off-premises. The backyard has a table with five chairs, a patio cover, and a shed. The shed has gardening equipment and is locked. The facility's smoke detectors and carbon monoxide detectors were tested and were observed to be in working order; the fire extinguisher is properly charged and serviced. The facility has a fully equipped first aid kit and a first aid manual. The facility does not have cameras. PA/Licensee Irasusta stated there were no weapons in the home. LPA Anderson observed the following required forms were posted in the facility: menu, personal rights form, grievance/complaint policy, visitation policy, house rules, disaster plan, plan activities, and facility sketch. A review of Guardian on March 6, 2024, indicates that all facility staff associated to the facility had DOJ, FBI, and child abuse index checks clearances. LPA reviewed five client files and five staff files. All necessary forms are in the file. 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 PA/ Licensee Irasusta.

met_with: Jocelyn Irasusta, Licensee