facility_name: YAMBAO-EVERYDAY MILESTONES SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
At 1PM, Licensing Program Analyst (LPA) Madi Fremont met with the home above over Microsoft Teams to conduct an Regional Office Meeting. The purpose of this meeting was to discuss the home's request for an age exception for one of their clients in care, as well as to discuss the home's plans to submit an application to transition to an Adult Residential Facility. LPA met with Licensee/Administrator Raphael Yambao, who helped facilitate this inspection. Also in attendance were Licensing Program Manager (LPM) Helga Wong, East Bay Regional Center (RCEB) Case Manager Teresa Lam, and RCEB Case Manager Supervisor Ineko Ito. Currently in care are 4 ambulatory clients. During this meeting, it was discussed that all clients currently residing at Yambao Everyday Milestones have surpassed the home's licensed age of 6-17 years old. LPM Wong stated that Community Care Licensing could not issue age exceptions for all four clients because the home would be operating as an adult residential facility under a children's residential license. In order to avoid interruptions in the clients' care, LPM Wong asked Mr. Yambao to provide a reasonable timeline for their transition to an Adult Residential Facility. Mr. Yambao clarified that his current facility would remain open under the current children's residential license, and he would be opening a new facility, licensed as an Adult Residential Facility, that all clients currently in care would transition to once the application process is complete. Mr. Yambao stated that his son has already attended an Adult Residential Facility orientation, and has completed the administrator certification course. Mr. Yambao is currently working on the program design for the new facility with approximately 25-30% completed, and hopes to submit the application by the end of this month, June 2021. (Continued on Lic809-c) At this time, LPM Wong suggested that Mr. Yambao submit both the adult residential facility application and the Regional Center vendorization application at the same time, to help speed the process along. LPM Wong advised Mr. Yambao to submit the application directly to the Sacramento Regional Office, either in person or by certified mail and to keep scanned copies of all documentation in the event that something must be replaced. Mr. Yambao agreed to notify LPA Fremont and LPM Wong when the application for the Adult Residential Facility is submitted, and agreed to include LPA Fremont and LPM Wong on email correspondence going forward in order to receive updates on the process. LPA Fremont will also reach out by email monthly to inquire about updates and provide any needed support to Mr. Yambao. Mr. Yambao has also agreed to submit a written plan and reasonable timeline for this application process and for the transition of clients to the new facility. Plan will be submitted to LPA Fremont and LPM Wong over email no later than 5PM on Friday, 06/11/2021. At this time, all clients currently in care at Mr. Yambao's facility will be allowed to remain in care without age exceptions until the new Adult Residential Facility is licensed and the clients can move to their new home. At this time, no deficiencies are being cited. An exit interview was conducted, and a copy of this report was emailed to Licensee Raphael Yambao to be signed and returned over email no later than 5PM on Thursday, 06/10/2021.

met_with: Licensee/Administrator Raphael Yambao


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On 4/29/22 at 10: AM Licensing Program Analyst (LPA) Alyssa Ng made an unannounced annual/required inspection to this location. LPA Ng met with Administrator Raphael Yambao. The facility is licensed for four residents, and currently in placement is 4 clients. LPA observed two client in care who is non-verbal, however one client said waved to LPA Ng and seemed to be in good spirits. Safety precautions were taken, including screening call, hand hygiene, and mask-wearing. LPA Ng toured the facility inside and out, and the facility consist of four bedrooms. Two bedrooms for clients and two for staff and all bedrooms are double occupancy. There are two bathrooms. One for the staff and one for clients to use. The water temperature measured 115.3 degrees F. Thermostat measured at 70 degrees. The facility is clean, safe and sanitary. The facility had sufficient perishable and nonperishable food supplies. The smoke detectors and fire extinguishers are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. All window screens are in good condition. LPA Ng reviewed 4 client files and 5 staff files. All client and staff records complete with all of the required documentation. Each client has their own separate binder of all required documents. Each psychotropic medication was observed to have its own Psychotropic Medication Administration Record (PMAR), as well as individual Centrally Stored Medication Destruction Records (CSMDR). All medications were consistent with these records. Individual staff binders included required training, staff qualifications, employees personal rights, and health screening. LPA Ng interviewed two staff. At this time, no citations were given. An exit interview was conducted, and a copy of this report was emailed to Licensee/Administrator Raphael Yambao, whose signature on this form confirms receipt.

report_type: Facility Evaluation

visit_type: Annual

met_with: Raphael Yambao


summary: Facility Evaluation

raw_content:
Narrative:
On 09/29/23 at 11: AM Licensing Program Analyst (LPA) Alyssa Ng made an unannounced annual/required inspection to this location. LPA Ng met with Administrator Raphael Yambao. The facility is licensed for four residents, and currently in placement are 0 clients. Safety precautions were taken, including screening call, hand hygiene, and mask-wearing. LPA Ng toured the facility inside and out, and the facility consist of four bedrooms. Two bedrooms for clients and two for staff and all bedrooms are double occupancy. There are two bathrooms. One for the staff and one for clients to use. The water temperature measured 115.3 degrees. Thermostat measured at 70 degrees. The facility is clean, safe and sanitary. The facility had sufficient perishable and nonperishable food supplies. The smoke detectors and fire extinguishers are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. All window screens are in good condition. LPA Ng reviewed 0 client files and 4 staff files. All client staff records complete with all of the required documentation. Individual staff binders included required training, staff qualifications, employees personal rights, and health screening. LPA Ng interviewed one staff. At this time, no citations were given. An exit interview was conducted, and a copy of this report was printed to Licensee/Administrator Raphael Yambao, whose signature on this form confirms receipt.


summary: Facility Evaluation

raw_content:
Narrative:
On 5/7/2024 at 11: AM, Licensing Program Analysts (LPAs) Jasmine Cardeno and LPA Mona Lam made an unannounced visit to Yambao-Everyday Milestones Small Family Home to conduct a required annual inspection. LPA Cardeno and LPA Lam met with Facility Administrator, Raphael Yambao, who helped facilitate the inspection. The Facility Yambao-Everyday Milestones Small Family Home currently has no clients in care as of 5/7/2024. The CARE Inspection Tool was used to conduct the inspection. At the start of the inspection, LPA Cardeno and LPA Lam conducted a walk-through of the facility, both inside the home and outside of the home. There were 2 client bedrooms that are double occupancy and 2 staff bedrooms. All window screens are in good condition. The client bedrooms are clean and have clean linens. The smoke detectors and fire extinguisher are in working order. No bodies of water on the premises. All walkways were free from debris or hazards. 1 file for a staff member was reviewed to be complete and the facility in compliance. 0 client records were reviewed as Yambao-Everyday Milestones Small Family Home currently has no clients in care. LPA Cardeno conducted 1 confidential staff interview. At this time, no citations were given. LPA Cardeno provided Technical Advisories for Yambao-Everyday Milestones Small Family Home, including advising the Facility Administrator, Raphael Yambao, that the backyard should be free of obstructions and exercise equipment when there are clients present. In addition, LPA Cardeno requested Raphael Yambao to send an updated Program Design to include the new facility address to file for Community Care Licensing's physical file. The new Program Design file will be sent to LPA Cardeno via email at Jasmine.Cardeno@dss.ca.gov by May 31, 2024. An exit interview was conducted and a copy of this report was emailed to Facility Administrator, Raphael Yambao, whose signature on this form confirms the receipt.

met_with: Raphael Yambao, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Monica Pavia made an unannounced required annual inspection to the Small Family Home (SFH), on April 29, 2025, at 10:30am. LPA met with Licensee, Raphael Yambao, who assisted in the home inspection. Licensee does not currently have any placements in the home. Licensee did receive a respite placement on 4/28/25, around 9:15pm, to this SFH. There were no client files to review. LPA reviewed respite client medications, and printed the Licensee medication forms: LIC622, LIC622A and LIC622B. LPA reviewed with Licensee the instructions of the medication forms. LPA reviewed Licensee's staff file. There are currently no other staff employed, at this time. Licensee is fingerprint/background check cleared, using Guardian printout dated 4/22/25. Licensee First Aid/CPR is current. There was one (1) Type A regulation violation that was cited on this date for Buildings & Grounds, 80087(g). Based on site inspection, LPA observed several sharp knives and scissors in an unlocked kitchen cabinet. Licensee immediately removed all sharps and placed them in a lockbox, then in a locked cabinet. There was one (1) Technical Advisory (TA) issued for Personal Rights, 83072(a). Based on LPA observation, Licensee had outdated Personal Rights posted. A copy of this report, deficiency cited and TA were reviewed with Licensee, and copies were left with Appeal Rights.


summary: Facility Evaluation

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Narrative:
On 03/03/2026 at 11:30 a.m., Licensing Program Analyst (LPA) Brenda Rodriguez conducted an unannounced Annual Inspection and met with Ruthchel Pama, Direct Support Professional. LPA Rodriguez disclosed the purpose of the inspection and was granted entry into the facility by the Direct Support Professional. LPA Rodriguez used the CARE Inspection Tool. The facility currently has a census of two (2) clients. LPA Rodriguez reviewed two (2) staff files and two (2) client files. LPA Rodriguez conducted one (1) confidential staff interview. During the physical plant inspection, deficiencies were found (see more on LIC 809-D). LPA Rodriguez toured the facility inside and out. All client bedrooms were equipped with comfortable furnishings which included ample storage space for clients' belongings and full-sized beds. Each bedroom has drawers for extra storage space. Client's bathroom was clean and furnished with hygiene supplies for each client. Extra linens are located in a closet in the hallway. The kitchen was observed to be clean and free of hazards or chemicals. No bodies of water on the premises. LPA toured the backyard and observed it to have some obstruction in the passageway. Two Type A and three Type B citations are being cited (see more on LIC 809-D). Also, three Technical Violations (TV) and one Technical Assistance (TA) are being issued during the inspection. Please see attached TV and TA. (continue on LIC 809-C) The required Annual Inspection is complete. An exit interview was conducted at 2:40 p.m., and a copy of this report was given to Direct Support Professional Ruthchel Pama, whose signature on this form confirms receipt.


facility_name: YONNIK SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
Confidential interviews revealed that the licensee stated that they would not leave until C1 was treated. Confidential interviews revealed that the licensee stayed with the client the entire time they were at the emergency room. Other information obtained stated the allegation occurred. Based on confidential interviews and record reviews, the allegation that resource parent threatened to abandon C1 may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to Licensee Wilyon Miller.

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

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

report_type: Complaint Investigation

met_with: Wilyon Miller

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews indicated at times C1 has refused to shower, change their linens, and change their clothing, which has contributed to an unpleasant odor. Confidential interviews indicated there are goals set for proper hygiene practices with C1's service providers. Confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that facility staff are not adequately providing C1 with personal hygiene assistance, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report, LIC 811, and appeal rights were provided to the facility. A copy of this report will be placed in the facility file.

Investigation Findings:
13On July 15, 2025, at 11:10 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Wilyon Miller, Licensee, to discuss the investigative finding for the allegation noted above. LPA Rachel Vanegas conducted an inspection of the facility on March 17, 2025, at 10:15 am, and no deficiencies were observed. LPA Vanegas interviewed two Resource Parents (RP1-2), LPA Linley interviewed two of five Clients (FC1-2), and LPA was unable to interview two of five Clients (FC3, FC5) due to their inability to verbally communicate with LPA, and LPA was unable to interview one of five Clients (FC4) and County Social Worker (CSW), despite multiple attempts to contact them. LPA reviewed the facility documents during the investigation. On March 13, 2025, Community Care Licensing (CCL) received an allegation that facility staff are not adequately providing minor with personal hygiene assistance. It was reported that C1 went to school with an unpleasant odor. Confidential interviews indicated C1 has been offered hygiene supplies and clean clothing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: YONNIK SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 07/15/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
On July 12, 2021 at 9: AM, Licensing Program Manager (LPM), Abdoulaye Traore, and Licensing Program Analyst (LPA), Shanae Pharaoh, began a pre-licensing inspection for a Small Family Home license. LPA met with applicant Wilyon Miller who led a tour of the home. The facility was toured both inside and out with the applicant. The applicant is applying for a capacity of 3 ambulatory developmentally disabled with special needs. The home is a two-story home and consists of: Downstairs: Bedroom #1, the room consist of one twin size bed- it will sleep one child- currently vacant. There was a living room, dining area, the kitchen, the garage, laundry room, and bathroom. Upstairs: Bedroom #2, the room was furnished with a twin-size bunk bed- It sleeps two foster children ages 3 and 4. Bedroom #3, the room was furnished with a king-size bed and a crib- it sleeps the applicant and the crib sleeps a 1-year old foster child. Bedroom #4, the room was furnished with a full-size bed - it was vacant. Bedroom #5, the room was furnished with a queen-size bed - it sleeps the applicants 21- year old daughter Bedroom #6, the room was furnished with a queen-size bed - it sleeps the applicants 19- year old son There is a loft that serves as a multipurpose area. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. Bedroom #1 is currently being used to store staff and client files; applicant will move the files to the garage. No bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. The was only one set of bedding for the clients, applicant stated she will purchase an additional set for each bed. Bedroom #1 did not have a mattress protector; applicant will be putting a mattress protector on the bed. Upstairs outside the bedrooms, there was a loft designated game and play area which contained toys. It was observed to be safe, clean, and age appropriate for the age group of children to be cared for. The smoke detectors were checked, and smoke detector in Bedroom #2 was not working properly, applicant stated she will get the smoke alarmed synchronized. The fireplace was in the living room area and it was properly screened. There is currently no telephone service, apply will obtaining a landline. The appliances were in a working order. Inside of the home, hazardous items have been properly made inaccessible to areas where children will have access. The medications are stored in the kitchen and were not locked, applicant stated she will store the medication in a lock box. The first aid kit was stored in the downstairs bathroom. Cleansers/chemicals were locked and stored in utility cabinet located in the garage. Sharp knives were inaccessible and store in the utility cabinet in the garage. There were no guns or weapons as stated by Applicant at this time. The hot water temperature was tested and noted to be 105.1 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. The fire extinguisher was in the kitchen, an additional fire extinguisher was in the garage, in the loft and laundry room. The was an additional refrigerator and freezer in the garage. The Facility Sketch, Emergency Disaster Plan were posted. LPM and LPA did not observe the visitation policy and Personal Rights posted. LPM and LPA observed the back yard to have scrap wood located by the side gate, applicant stated it will be moved to the garage. The side gate was also tied shut with a wire, applicant stated she will remove the wire. There was no pool or other body of water. Based on this inspection of the home, the facility will need the following corrections: • Smoke detector in bedroom #2 needs to be synchronized • Clients need additional set of bed linens • Medications need to be stored in locked boxes • Staff and client files need to be stored in a separate area from client room • Telephone service needs to be established in home • Visitation plan and personal rights needs to be posted Scrap wood needs to be removed from backyard After the corrections are completed, the applicant will notify LPA Pharaoh. The component orientation III will be scheduled once the corrections are completed. The request of License will be forwarded to Licensing Program Manager for final approval once the component orientation is completed and the corrections have been made. Exit interview conducted and a copy of this report was discussed and provided to applicant on this July 12, 2021.

visit_type: Prelicensing

met_with: Applicant - Wilyon Miller


summary: Facility Evaluation

raw_content:
Narrative:
On August 16, 2021 at 2: PM Licensing Program Analysts (LPAs) Shanae Pharaoh and LPA Babatunde Aborchie and Licensing Program Manager, Abdoulaye Traore arrived at a Small Family Home and met with applicant, Wilyon Miller who led a tour of the home. The purpose of the inspection was ensuring corrections were made from the pre-licensing inspection dated on July 12, 2021. The facility was toured both inside and out with the applicant. Downstairs: Bedroom #1, the room consist of one twin size bed- it will sleep one child- currently vacant. There was a living room, dining area, the kitchen, the garage, laundry room, and bathroom. Upstairs: Bedroom #2, the room was furnished with a twin-size bunk bed- It sleeps two foster children ages 3 and 4. Bedroom #3, the room was furnished with a king-size bed and a crib- it sleeps the applicant and the crib sleeps a 1-year old foster child. Bedroom #4, the room was furnished with a full-size bed - it was vacant. Bedroom #5, the room was furnished with a queen-size bed - it sleeps the applicants 21- year old daughter Bedroom #6, the room was furnished with a queen-size bed - it sleeps the applicants 19- year old son There is a loft that serves as a multipurpose area. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. There was an additional set of bedding for each of the clients. Each bed was observed to have a mattress protector. Upstairs outside the bedrooms, there was a loft designated game and play area which contained toys. It was observed to be safe, clean, and age appropriate for the age group of children to be cared for. There is was a land line telephone located in the kitchen and upstairs. The appliances were in a working order. Inside of the home, hazardous items have been properly made inaccessible to areas where children will have access. The medications are stored in the kitchen and were in locked boxes. The first aid kit was stored in the downstairs bathroom. Cleansers/chemicals were locked and stored in utility cabinet located in the garage. Sharp knives were inaccessible and stored in the utility cabinet in the garage. There were no guns or weapons as stated by Applicant at this time. The hot water temperature was tested and noted to be 105.1 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. The fire extinguisher was in the kitchen, an additional fire extinguisher was in the garage, in the loft and laundry room. There was an additional refrigerator and freezer in the garage. The Facility Sketch, Emergency Disaster Plan, The Visitation Policy and Personal Rights were posted. LPM and LPA observed the back yard to be free of obstruction and the gate was accessible and free latching without a lock. There was no pool or other body of water. Corrections made: · Smoke detector in bedroom #2 was hardwired and synchronized · Applicant purchased additional sets of bed linens for each client · Medications were stored in locked boxes · Staff and client files were moved to a storage cabinet in the garage. · Telephone service was established in the home · Visitation policy and personal rights were posted · Scrap wood was removed from backyard Based on this inspection, the home is appropriate for a capacity of 3 ambulatory clients. All corrections were made, and all requirements are met at this time. Component III was also conducted during this inspection. The request of License will be forwarded to Licensing Program Manager for final approval. Exit interview conducted and a copy of this report was discussed and provided to applicant on this date.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On January 20, 2021 at 10: AM, Licensing Program Analyst (LPA), Linda Haynes, began a post-licensing inspection for a Small Family Home license. LPA met with Licensee Wilyon Miller who led a tour of the home. The facility was toured both inside and out with the applicant. The home is a two-story home and consists of: Downstairs: Bedroom #1, the room consist of one full size bed- it will sleep one child- currently vacant. There was a living room, dining area, the kitchen, the garage, laundry room, and bathroom. Upstairs: Bedroom #2, the room was furnished with a twin-size bunk bed- It sleeps two children. Bedroom #3, the room was furnished with a king-size bed and a crib- it sleeps the applicant and the crib sleeps a 1-year old child. Bedroom #4, the room was furnished with a full-size bed - it was vacant. Bedroom #5, the room was furnished with a queen-size bed - it sleeps the applicants 22- year old daughter Bedroom #6, the room was furnished with a queen-size bed - it sleeps the applicants 20- year old son There is a loft that serves as a multipurpose area. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. Upstairs outside the bedrooms, there was a loft designated game and play area which contained toys. It was observed to be safe, clean, and age appropriate for the age group of children to be cared for. The smoke detectors were checked and were working. The fireplace was in the living room area and it was properly screened. There is a landline telephone. The appliances were in a working order. Inside of the home, hazardous items have been properly made inaccessible to areas where children will have access. The medications are stored in the kitchen and are in lock boxes one in the cabinet and one the refrigerator. The first aid kit was stored in the downstairs bathroom and contains needed supplies. Cleansers/chemicals were locked and stored in utility cabinet located in the garage. Sharp knives were inaccessible and store in the utility cabinet in the garage. There were no guns or weapons as stated by Licensee Wilyon Miller. The hot water temperature was tested and noted to be 120 degrees. All food is properly stored. Trash cans for storage of solid waste have tight fitting lids. The fire extinguisher was in the kitchen, an additional fire extinguisher was in the garage, in the loft and laundry room. There was an additional refrigerator and freezer in the garage. The Facility Sketch, Emergency Disaster Plan were posted. There was no pool or other body of water. There were no deficiencies noted at this time. This report was reviewed and a copy was provided to licensee Wilyon MIller.


summary: Facility Evaluation

raw_content:
Narrative:
On January 21, 2021 at 10: AM, Licensing Program Analyst (LPA), Linda Haynes, began a pre-licensing inspection for a capacity increase for a Small Family Home license. LPA met with Licensee Wilyon Miller who led a tour of the home. The facility was toured both inside and out with the applicant. The home is a two-story home and consists of: Downstairs: Bedroom #1, the room consist of one full size bed- it will sleep one child- currently vacant. There was a living room, dining area, the kitchen, the garage, laundry room, and bathroom. Upstairs: Bedroom #2, the room was furnished with a twin-size bunk bed- It sleeps two children. Bedroom #3, the room was furnished with a king-size bed and a crib- it sleeps the applicant and the crib sleeps a 1-year old child. Bedroom #4, the room was furnished with a full-size bed - it was vacant. Bedroom #5, the room was furnished with a queen-size bed - it sleeps the applicants 22- year old daughter Bedroom #6, the room was furnished with a queen-size bed - it sleeps the applicants 20- year old son There is a loft that serves as a multipurpose area. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. Upstairs outside the bedrooms, there was a loft designated game and play area which contained toys. It was observed to be safe, clean, and age appropriate for the age group of children to be cared for. The smoke detectors were checked and were working. The fireplace was in the living room area and it was properly screened. There is a landline telephone. The appliances were in a working order. Inside of the home, hazardous items have been properly made inaccessible to areas where children will have access. The medications are stored in the kitchen and are in lock boxes one in the cabinet and one the refrigerator. The first aid kit was stored in the downstairs bathroom and contains needed supplies. Cleansers/chemicals were locked and stored in utility cabinet located in the garage. Sharp knives were inaccessible and store in the utility cabinet in the garage. There were no guns or weapons as stated by Licensee Wilyon Miller. The hot water temperature was tested and noted to be 120 degrees. All food is properly stored. Trash cans for storage of solid waste have tight fitting lids. The fire extinguisher was in the kitchen, an additional fire extinguisher was in the garage, in the loft and laundry room. There was an additional refrigerator and freezer in the garage. The Facility Sketch, Emergency Disaster Plan were posted. There was no pool or other body of water. There were no deficiencies noted at this time. This report was reviewed and a copy was provided to licensee Wilyon MIller. This home is being recommended for a capacity increase.


summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday September 6, 2023, at 10: AM Licensing Program Analyst (LPA) Linda Haynes conducted an annual inspection of the facility. At time of inspection LPA met with Licensee Wiylon Miller. The facility was toured inside and out with License Wiylon Miler. The home is a two-story residence with seven bedrooms and four bathrooms. Bedroom # 1 is the Master and sleeps the client Bedroom # 2 is upstairs and 2 twin bunk beds and sleeps licensee's son. Bedroom # 3 is upstairs has a full bed and is a spare room. Bedroom # 4 is upstairs has a full bed and sleeps the adult daughter Bedroom # 5 is upstairs has a full bed and sleeps the adult daughter Bedroom # 6 is down stairs has a full bed and sleeps one client Bedroom # 7 is down stairs has a full bed and a crib and sleeps two clients Bedrooms are arranged so that no more than two clients are in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. Hot water in bathroom number one measured to be 109.0, bathroom number two 107.5 and Master bathroom 109.9. Bathroom number four is the only accessed through the adult children's room and the clients do not have access to it. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications are stored in a locked cabinet in the kitchen. Cleansers/chemicals are stored in a locked cabinet in the garage. Sharp knives are inaccessible and stored in a locked cabinet in the garage. The First Aid Kit is located in the kitchen and contained all required supplies. The facility's smoke detectors / Carbon Monoxide detectors in each bedroom were checked and were operable. There are no guns or weapons in the facility as stated by Licensee Wiylon Miller. The following required posted items was accessible to clients: Grievance Procedures, Personal Rights, and Visitation policies. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is no pool or other body of water. Exit interview conducted and a copy of this report was discussed and provided to Licensee Wiylon Miller on this date.


summary: Facility Evaluation

raw_content:
Narrative:
On October 2, 2024, at 8: AM, Licensing Program Analyst (LPA), Adaleyci Caballero conducted pre-licensing inspection for a capacity increase for Yonnik Small Family Home (SFH). LPA met with Licensee Wilyon Miller who led a tour of the home. The facility was toured both inside and out with the licensee. The home is a two-story home and consists of: Downstairs: Bedroom #1- The room consist of one medical bed and one single bed- It sleeps one non-ambulatory and will sleep one additional non-ambulatory/bedridden client. The beds had linen, comforters, and pillows. Bedroom #2- The room was furnished with a single bed. The bed had linen, comforters, and pillows. It sleeps one client. Upstairs: Bedroom #3- It consisted of a single bed. licensee's bedroom. Bedroom #4- It consisted of one single bed. It sleeps licensee's adult children when visiting. Bedroom #5- It consisted of a single bed. It sleeps licensee's adult children when visiting. Bedroom #6- It consisted of a single bed. The bed had linen, comforters, and pillows. It will sleep one ambulatory client. Bedroom #7- It consisted of two single beds. The bed had linen, comforters, and pillows. It sleeps licensee's bio son and one client. There was a living room, family room, dining area, kitchen, garage, loft, laundry room, four full bathrooms, backyard, and two car garage. The clients' bedrooms were arranged so that no more than two clients will be in a room. No room commonly used for other purposes is used as a bedroom, and no client bedroom serves as a passageway to another room. There was adequate closet space for the clients' belongings. There was a smoke detector in every bedroom. The eight smoke detectors and carbon monoxide detector were checked and working properly. The home's central air conditioning module was in the backyard. The water heater was in the garage. The appliances were in working order. The clients files are locked inside a filing cabinet in the licensee's bedroom. There was adequate food storage space and a supply of three days of perishable foods and a week of non-perishable foods. The home had a trash can for storage of solid waste with a tight-fitting lid. The sharp knives were locked in a cabinet in the garage. Medications were locked in a lock box inside a kitchen cabinet. The hot water was at a temperature of 120.1 degrees Fahrenheit. The First Aid kit was accessible and was placed in a drawer in the bathroom downstairs. There was one fire extinguisher present in the home located in the family room area. It was observed to be properly charged and inspected by the fire department. There are no firearms in the home. There was no pool or other bodies of water at the home. The backyard is fully fenced and free of debris. The home has three cameras on the outside premise and three cameras in the common areas of the home. The Facility Sketch, Emergency Disaster Plan, CCIB Hotline, Personal Rights, and Food Menu were posted. There were no deficiencies noted at this time. This report was reviewed and a copy was provided to licensee Wilyon MIller via email. This home is being recommended for a capacity increase. Designated person Kameron Taylor signed the document due to licensee unable to stay to sign the document.

met_with: Licensee-Wilyon Miller


facility_name: YVONNE AND JONATHAN SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On September 12, 2025, at 3: PM, Licensing Program Analyst (LPA) Lucero Jauregui accompanied by Licensing Program Manager (LPM) Dawn Segura met with Applicants Yvonne Ashton and Jonathan Ashton for a Component II orientation at the Community Care Licensing San Diego Office. LPA and applicant discussed needed revisions to the application and program statement prior to today's meeting. At this time, updates and revisions have been received by Community Care Licensing. LPA advised applicant the department will proceed with the application process. A signed copy of this report was provided to Yvonne and Jonathan Ashton.

met_with: Yvonne and Jonathan Ashton


summary: Facility Evaluation

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Narrative:
On December 8, 2025 at 10: AM, Licensing Program Analysts (LPA) Lucero Jauregui conducted a pre licensing inspection and Component III orientation. LPA met with Yvonne and Jonathan Ashton whom are applying for a Small Family Home with the capacity of 2 ambulatory and 2 non-ambulatory clients, ages 1- 17 years old. The facility is a one story home with living room, dinning room, kitchen, five bedrooms, five bathrooms, backyard with pool, and a two car garage. Bedroom 1 and Bedroom 2 will be for client use only. Bedrooms are set up to where there are no more than two clients per bedroom, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. LPA observed twin beds and adequate closet/ dresser space for client belongings. The hot water was measured in client bathroom to be 113 degrees Farenheit. The master bedroom is occupied by the applicants and bedroom will remain locked at all time. Two additional bedrooms are occupied by the applicants family and will remain locked at all times. The living room is observed with furniture, television and ample space for relaxation. The kitchen is observed to be clean and free from observable hazards. The sharps are maintained locked in a lock box in the pantry. Chemicals and cleaning supplies are maintained locked under the sink. Medication, client and staff files will be maintained locked in file cabinet next to the kitchen. Fire extinguisher and first aid kit was observed and contained required items. Continued.... The laundry room contains washer and dryer and will be maintained locked at all times. LPA observed sufficient clean towels, linen and bedding. There is a two car garage that will remain locked at all times. There is closet space in the hallways for extra storage of supplies. There is an office in the hallway with a phone available for client use. A physical plant inspection was conducted: There is adequate indoor and outdoor activity space for client use. The home has carbon monoxide, smoke detectors and a fire sprinkling system. LPA observed pool in the backyard to be appropriately fenced with a self-closing/ self-latching door. There is a tool shed that will be maintained locked at all times. Component III orientation was completed. LPA provided applicant with duty officer phone line and email for reporting incidents. Based on this inspection, no deficiencies were noted at this time. The application will be forwarded to management for final review and approval. An exit interview was conducted and a copy of this report was given to Yvonne Ashton.

met_with: YvonNe and Jonathan Ashton


summary: Facility Evaluation

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Narrative:
On May 6, 2026 at 9: AM, Licensing Program Analysts (LPA) Lucero Jauregui and LPA Suzanne Martinez conducted a Post Licensing inspection. LPA's met with Yvonne Ashton who provided LPA's with an indoor and outdoor tour of the facility. The facility's capacity is up to 4 clients, where 2 may be non-ambulatory, ages 1- 17 years old. There is currently one client in placement. The facility is a one story home with living room, dinning room, kitchen, five bedrooms, five bathrooms, backyard with pool, and a two car garage. Bedroom 1 and Bedroom 2 will be for client use only. Bedrooms are set up to where there are no more than two clients per bedroom, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. LPA observed twin beds and adequate closet/ dresser space for client belongings. The hot water was measured in client bathroom to be 114 degrees Farenheit. The master bedroom is occupied by the Licensee and bedroom will remain locked at all time. Two additional bedrooms are occupied by the applicants family and will remain locked at all times. The living room is observed with furniture, television and ample space for relaxation. The kitchen is observed to be clean and free from observable hazards. The sharps are maintained locked in a lock box in the pantry. Chemicals and cleaning supplies are maintained locked under the sink. Medication, client and staff files are maintained locked in file cabinet next to the kitchen. Fire extinguisher and first aid kit was observed and contained required items. Continued.... The laundry room contains a washer and dryer. LPA's observed detergent and cleaning supplies were maintained in locked cabinets. LPA's observed sufficient clean towels, linen and bedding. There is a two car garage that will remain locked at all times. There is closet space in the hallway for extra storage of supplies. There is an office in the hallway with a phone available for client use. A physical plant inspection was conducted: There is adequate indoor and outdoor activity space for client use. The home has carbon monoxide, smoke detectors and a fire sprinkling system. LPA observed pool in the backyard to be appropriately fenced with a self-closing/ self-latching door. There is a shed used for tools and Licensee was reminded of maintaining hazardous items inaccessible. LPA's reviewed one out of one client file. The licensee is reminded that personnel records are maintained on the licensee, administrator and each employee. A review of Guardian on May 6, 2026, indicates that all facility staff associated to the facility have DOJ, FBI, and Child Abuse index check clearances. LPA's conducted one staff interview and were unable to conduct a client interview due to client not present at the time of inspection. Based on this inspection, there are no deficiencies noted at this time. An exit interview was conducted and due to printer malfunction a copy of this report was emailed to Yvonne Ashton.

met_with: Yvonne Ashton, Licensee


facility_name: ZAINAB SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On December 14, 2023 at 10: AM Licensing Program Analyst (LPA) Babatunde Aborchie began a Pre-Licensing inspection for a Small Family Home license. LPA met with applicant Zainab Jalloh led a tour of the home. The facility was toured both inside and out with the applicant. The applicant is applying for a capacity of 3 ambulatory clients. The home consists of: Downstairs: Bedroom #1, It was furnished with a full bed. It was vacant. There were also a family room, a living room, dining area and one bathroom. Upstairs: Bedroom #2, Master bedroom. The room consisted of one Cal king sized bed and a crib. It sleeps the applicant/Licensee. Bedroom #3, The room was furnished with a queen bed. It sleeps biological daughter aged 14 years. Bedroom #4, The room was furnished with a queen bed. It sleeps a biological son aged 10 years. Bedroom #5, The room was furnished with two twin beds. It would sleep two clients. It was vacant. Bedrooms are arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in a locked kitchen cabinet. There were no guns or weapons as stated by the applicant at this time. The hot water temperature was tested and noted to be 112 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items, and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for a small family home will be forwarded to the Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee.

met_with: Zainab Jalloh


summary: Facility Evaluation

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Narrative:
On 04/09/ Licensing Program Analysts (LPAs) Maryjane Perez and Claudia Aguilera and Licensing Program Manager Abdoulaye Traore conducted an annual inspection at Zainab Small Family Home (SFH) and met with licensee Zainab Jalloh who gave a tour of the entire home. Currently, there was one ambulatory client placed in the home and it is licensed for a capacity of three. The Facility was toured both inside and out with the licensee. The home is a two-story building with five bedrooms and three bathrooms. LPAs and LPM observed that the downstairs consisted of the kitchen, a living room, a formal living room, the garage, two dining areas with large tables and a bedroom #1. The bedroom was utilized for the male client currently residing at the SFH and the room consisted of a full-size bed, a closet space including the adequate bedding. Sharp objects/knives, first aid kit and medications were stored in a locked cabinet in the kitchen. Fire extinguisher was also centrally placed in the kitchen and operable. The water temperature was tested and measured at 120 degrees F. The pantry and refrigerator were fully stocked and had perishable and nonperishable foods. In addition to the downstairs space, there were also one full bathroom fully functioning and hallway closets storing extra household items and client's hygiene products. A trash can was observed to have tight fitting cover. All required postings were posted at this time. The upstairs consisted of a laundry room that always remains locked. There was a master bedroom #2 for licensee, and it consisted of a king size bed, a crib currently vacant and a bathroom; bedroom #3 sleeps licensee's biological 15-year-old daughter furnished with a queen size bed, bedroom #4 sleeps licensee's biological son and furnished with a queen size bed, bedroom #5 was vacant and consisted of two twin size beds fully furnished and will be utilized for two clients. There was also bathroom #3 that was fully functioning in the hallway. All bedrooms were arranged for one child per bed. There were adequate drawer and closet space for children's belongings. The outdoor grounds were also inspected, and no hazards or obstructions were observed. During inspection LPAs inspected the client file and licensee file. There was no pool or other body of water. There was no firearm in the home as stated by licensee. The smoke and carbon monoxide detectors were checked and were working properly. There was a telephone land line service available in the home. LPAs interviewed licensee and the client. During the visit. there were no deficiencies observed, however, LPAs issued one technical violation (TV) and one technical advisory (TA) explained and given to licensee. An exit interview was conducted, and a copy of this report along with TV and TA were reviewed and provided to Licensee Zainab Jalloh.

met_with: Licensee- Zainab Jalloh


summary: Facility Evaluation

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Narrative:
On April 30, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Zainab Small Family Home (SFH). LPA met with licensee Zainab Jalloh who welcomed LPA into the home. The purpose of the visit was for a collateral interview regarding a complaint not associated to this facility. LPA interviewed one client. A copy of this report was provided to licensee Zainab Jalloh


summary: Facility Evaluation

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Narrative:
On 05/13/ Licensing Program Analyst (LPA) Cynthia Ramos conducted an annual inspection at Zainab Small Family Home (SFH) and met with licensee Zainab Jalloh who led a tour inside and outside the facility. Currently, there was one ambulatory client placed in the facility and it is licensed for a capacity of three. The home is a two-story building with five bedrooms and three bathrooms. The downstairs consisted of the kitchen, a living room, a formal living room, the garage, two dining areas. Bedroom#1 was vacant and consisted of a queen size bed. The kitchen was observed to be clean and organized. Sharp objects/knives, first aid kit and medications were stored in a locked cabinet in the kitchen. The pantry and refrigerator were fully stocked and had perishable and nonperishable foods. Fire extinguisher was also centrally placed in the kitchen and operable. The water temperature was tested and measured at 130 degrees F. In addition to the downstairs space, there were also one full bathroom fully functioning and hallway closets storing extra household items and client's hygiene products. Trash cans were observed to have tight fitting covers. All required postings were posted at this time. The upstairs consisted of a laundry room that always remains locked. There was a master Bedroom #2 for licensee, and it consisted of a king size bed, a crib currently vacant and a bathroom. Bedroom #3 sleeps licensee's biological 16-year-old daughter furnished with a queen size bed. Bedroom #4 sleeps licensee's 12 year old biological son and furnished with a queen size bed. Bedroom #5 consisted of two twin size beds fully furnished and was currently occupied by 5 year old male client. All bathrooms were inspected and working properly at the time of inspection. All bedrooms were arranged for one client per bed. There were adequate drawer and closet space for clients belongings. The outdoor grounds were also inspected, and no hazards or obstructions were observed. During inspection LPA reviewed one client file and two staff files. There was no pool or other body of water. Per Licensee, there were no firearms in the home at the time of inspection. The smoke and carbon monoxide detectors were checked and were working properly. There was a telephone land line service available in the home. A total of one client interview and one staff (licensee) interview was conducted. Based on today's inspection the facility is being cited for a Type B deficiency under California Code of Regulations (CCR) for small family homes: 80088(e)(1). Refer to LIC 809-D for additional details. An exit interview was conducted, a copy of this report and LIC 809D with Appeal Rights was provided to Licensee Zainab Jalloh.

met_with: Licensee-Zainab Jalloh


facility_name: ZARAH SMALL FAMILY HOME

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***Continued from LIC 9099*** In regard to the allegations that foster parent touched the child inappropriately; foster parent did not prevent physical altercations between children in care; and foster parent did not prevent minor from inappropriately touching another minor, it was specifically reported that there were concerns of physical and sexual abuse towards. It was further reported that other children in the home have tried to beat FC1 (details unknown). Additionally, it was disclosed that there was an incident in which foster father reached over and touched FC1's thigh (details unknown). During the investigation, a confidential interview denied all the allegations were false. Other confidential interviews denied that the allegations were true. A confidential interview stated that FC1 was at the dinner table the entire time at the home and when FC1 got up from the table, FC1 collapsed at the bottom of the staircase. Foster parents contacted the paramedics and FC1 was transported to the hospital. FC1 did not return to SFH after discharge. It was indicated that FC1 was placed at the SFH for a very short period. In regard to the allegation that foster parent did not ensure that the home was free of marijuana, it was specifically reported that FC1 found marijuana in the garage, and FC1 did not like the vibes in the home and does not feel safe to go back to SFH. A confidential interview stated that FC1 never went into the garage and never interacted with the other children in care. Confidential interviews denied that marijuana is being used at the SFH. LPA didn't receive additional information. Based on consistent confidential interviews, the allegations that foster parent touched the FC1 inappropriately; foster parent did not ensure that the home was free of marijuana; foster parent did not prevent physical altercations between children in care; and foster parent did not prevent minor from inappropriately touching another minor may have happened or valid, however, there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811, and the appeal rights were explained and given to Billy Ngamau, Licensee.

Investigation Findings:
13On January 17, 2025, at 9: AM, Licensing Program Analyst (LPA) Karen Beal met with Licensee, Billy Ngamau to deliver the investigative findings for the above-stated allegations involving foster children (FC1, FC2 and FC3) and foster parents as listed on the Confidential Names (LIC 811). On November 04, 2024, Community Care Licensing (CCL) received a complaint alleging foster parent touched the child inappropriately, foster parent did not ensure that the home was free of marijuana, foster parent did not prevent physical altercations between children in care, and foster parent did not prevent minor from inappropriately touching another minor. On November 18, 2024, at 12: PM, LPA initiated the investigation at the Small Family Home (SFH) and obtained pertinent documents from the facility files. LPA interviewed the foster parent (FP), FC1, FC2 and FC3. In addition, LPA Beal interviewed one of the County Social Workers. ***Continued to LIC 9099-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ZARAH SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/17/2025

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

met_with: Billy Ngamau, Licensee


summary: Complaint Investigation - Unsubstantiated

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In regard to the allegation that licensee ran over minor's foot, confidential interview stated FC1 was standing by the car and LS pulled out of the parking lot very slowly and was not sure LS ran over FC1's foot. Another confidential interview stated FC1 screamed very loudly as FC1 was in pain. The confidential interview added that the car ran over FC1's right foot, but it didn't specify the affected spot. Additional confidential interview stated FC1's foot was run over, and FC1's foot was sore. Confidential witness did not observe a car running over FC1's foot, and did not see signs of injury on the right foot and believed licensee was a careful parent. LPA received a conflicting information. Based on the confidential interviews and observation, the allegation that LS ran over FC1's foot may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. A copy of this report and LIC 811 was provided to the licensee at the SFH.

Investigation Findings:
13On April 18, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Zarah Small Family Home. LPA met with Licensee Billy Ngamau to deliver the investigative finding for the above stated allegation involving the Small Family Home and foster children. On January 24, 2025, a complaint report was referred to Community Care Licensing (CCL) alleging Licensee ran over FC1's foot. On January 29, 2025, LPA Babatunde Aborchie arrived at the small family home to initiate investigation and conducted a safety inspection. LPA interviewed LS and staff (S1). Additionally, LPA Aborchie interviewed foster child 1 (FC1) and FC1's relative. LPA also interviewed County Social Worker (CSW). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ZARAH SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 04/18/2025

met_with: Licensee


summary: Facility Evaluation

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Narrative:
On April 19, 2024, 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted a Microsoft Teams meeting with the applicant and reviewed the application for Zarah Small Family Home. A LIC 184, Letter of Application Revisions and Facility Evaluation Report (LIC 809) was emailed to applicant for corrections. The applicant signature for this form will be placed in the file. On April 19, 2024, 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted a Microsoft Teams meeting with the applicant and reviewed the application for Zarah Small Family Home. A LIC 184, Letter of Application Revisions and Facility Evaluation Report (LIC 809) was emailed to applicant for corrections. The applicant signature for this form will be placed in the file. On April 19, 2024, 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted a Microsoft Teams meeting with the applicant and reviewed the application for Zarah Small Family Home. A LIC 184, Letter of Application Revisions and Facility Evaluation Report (LIC 809) was emailed to applicant for corrections. The applicant signature for this form will be placed in the file.

met_with: Billy Ngamau, Applicant


summary: Facility Evaluation

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Narrative:
On July 8, 2024, at 9: AM, Licensing Program Analyst (LPA) Karen Beal a Pre-Licensing inspection at Zarah Small Family Home. LPA met with applicant Billy Ngamau who led a tour of the home. The facility was toured both inside and out with the applicant. Applicant is applying for a license with a capacity of 6 ambulatory clients. The home consists of: Downstairs: Bedroom #5, It was furnished with a queen bed. It will be for the staff. There were a living room, dining area, a kitchen, pantry, storage, and one bathroom. Upstairs: Bedroom #1, furnished with two twin beds. It will sleep two clients - Vacant. Bedroom #2, furnished with two twin beds. It will sleep two clients - Vacant. Bedroom #3, furnished with two twin beds. It will sleep two clients - Vacant. Bedroom #4, Master bedroom. The room consisted of one Cal-king bed and a private bathroom. It sleeps the applicant. Loft area- future area play/entertainment area for the children. Locked laundry room, and a shared bathroom. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. ****Continued to LIC 809-C **** ****Continued from LIC 809**** Inside the facility there were no fire places. Telephone service and appliances were in a working order. Medications were locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in locked kitchen cabinet. The hot water temperature was tested and noted to be 105 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit were accessible with all required items, and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. LPA went over Component III Power Point with the applicant. The request to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Applicant.

met_with: BILLY NGAMAU, Applicant


summary: Facility Evaluation

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Narrative:
On May 21st, 2025, at 09: AM Licensing Program Analyst (LPA) Claudia Aguilera arrived at Zarah Small Family Home (SFH) to conduct an unannounced post licensing inspection. Currently, there was two ambulatory clients, the home is licensed for a capacity of six clients ages 0-18. The Facility was toured both inside and out with the Administrator Judith Mugo. The home is a two-story building with five bedrooms and three bathrooms. Upon entry, the downstairs consisted of the kitchen, a living room, the garage, a dining area with a large table, one bedroom, one bathroom, an a small office. Bedroom #1 consisted of a queen-size bed that sleeps licensee. Bathroom #1 was inspected and fully functioning. The medications were stored and locked in cabinet located in the kitchen. Sharp knives were inaccessible and stored in a locked cabinet under the kitchen sink. The First Aid Kit was located downstairs in a cabinet and contained all required items. The garage was inspected and used for storage and one vehicle. The water temperature was tested and measured at 114.6 degrees F. LPA observed a minimum of seven-days non-perishable and a three-days perishable supply of food. There was a variety of snacks available for clients as well. A trash can was observed to be in a pull-out cabinet. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. One fire extinguisher was observed and operable in the kitchen area. The upstairs consisted of a laundry room that always remains locked. There was a master bedroom #2 for administrator it consisted of a Calking size bed and a bathroom; the administrator's bedroom is not accessible to the clients; bedroom #3 sleeps only 18 year old male non-minor dependent client and the room was fully furnished with two twin beds, a closet and plenty of storage space. Bedroom#4 sleeps 15 year old client and was fully furnished with two twin beds, a closet, and plenty of storage space. Bedroom #5 consisted of two vacant twin beds that are currently open placements. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes a loft with a large sectional couch, a television and PlayStation, there was an additional bathroom used for the clients. All hazardous items have been properly inaccessible to areas where clients have access. All windows and screens were in good repair. There were no guns or weapons in the home as stated by caregiver. The administrator was interviewed, and no issues were found. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Clients' files and staff files were reviewed and found to be in compliance. During the visit. there were no deficiencies observed, however, LPAs issued two technical advisory (TAs) that was explained and given to administrator. An exit interview was conducted, and a copy of this report was discussed and provided to Administrator.

met_with: Judith Mugo, Administrator


summary: Facility Evaluation - 1 deficiency

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Narrative:
On March 25, 2026, at 11: AM, Licensing Program Analyst (LPA) Karen Beal arrived to conduct an Annual/Random inspection at Zarah Small Family Home. LPA met with Billy Ngamau who led a tour of the home. The facility was toured both inside and out with the Licensee. The Licensee is licensed for a capacity of 6 ambulatory clients. Currently there are three clients in care. The home is set up as followed: Downstairs: Bedroom #1, It was furnished with a queen bed. It currently sleep the licensee There is a living room, dining area, a kitchen, pantry, storage, small office area, and one bathroom. Upstairs: Bedroom #2, has two twin sized beds, dresser, and closet space. It sleeps FC1 and FC Bedroom #3, furnished with two twin beds, a dresser, and closet space. It sleeps FC3. Bedroom #4, furnished with two twin beds, a dresser, and closet space - The room is currently vacant. Bedroom #5, Master bedroom. The room consisted of one Cal-king bed and a private bathroom. It sleeps the Licensee sister. Loft area- is the play/entertainment area for the children. It is furnished with a couch, television, and a gaming system. There is also a play rug for younger children to play on. Upstairs has a locked laundry room, and a shared bathroom. ****Continued to LIC 809-C **** Continued from LIC Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. There is a fire extinguisher located in the kitchen and it was fully charged. The knives are stored a locked kitchen cabinet, All chemicals are stored upstairs in the laundry room. Medication is stored in a locked closet in the office area. The hot water temperature was tested and noted to be 113 degrees. All food was stored properly. Trash cans for storage of solid waste have tight fitting lids. First Aid kit is stored in the kitchen cabinet. House temperature is 76 degrees. The Facility Sketch, Emergency Disaster Plan, Visitation Policy, License and Personal Rights were posted in the office area. The backyard where children will have access to play was completely fenced and has multiple hazards . There are deficiencies to be cited at this time. An exit interview was conducted. A copy of this report was provided to Applicant.

Deficiencies:
83068.2(b): Needs and Services Plan

(b) The needs and services plan shall contain at a minimum the following information

met_with: Billy Ngamau. Licensee


facility_name: ZENOBIA GROVES SFH

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Narrative:
In regard to the allegations that staff physically restrained and handled a minor in a rough manner, it was specifically reported that there was an incident where S1 and S2 were holding down foster child 1 (FC1) by their arms and legs for 17 minutes. It was further reported that on 08/21/2023, a former HM grabbed minors' wrists and yelled loudly to FC1, "You don't fucking touch me! Do you understand?". During investigation, confidential interviews reported that they would use Crisis Prevention Intervention (CPI) holds to redirect and calm clients down, but they were no more than 5 minutes at a time. Other confidential interviews stated that they had not seen staff wrongly redirecting FC1 but in fact they believe that staff were doing a great job of redirecting. Regarding staff making inappropriate comments towards minor allegation, confidential interviews stated that staff would not use inappropriate language in the process of calming FC1. Other confidential interviews stated that FC1 would be the one to use vulgar language at staff. LPA couldn't gather additional information. Based on confidential interviews and a review of pertinent documents, the allegations that staff physically restrained FC1; staff handled FC1 in a rough manner; and staff made inappropriate comments towards FC1 may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to housse manager Danielle Mitchell.

Investigation Findings:
13On 07/19/2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez and Licensing Program Analayst Abdoulaye Traore conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with house manager Danielle Mitchell to deliver the investigative finding for the allegations listed above. On August 30th, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie conducted a health and safety inspection with licensee. LPA observed no immediate safety hazards. In addition, LPA B. Aborchie conducted interviews with LS, Behavior Analyst (BA), and House Manager (HM). Lpa B. Aborchie also obtained documents pertinent to the investigation. Furthermore, LPA M. Perez and Licensing Program Manager (LPM) Abdoulaye Traore conducted interviews with former staff 1 and staff 2 (S1 & S2), current House Manager (HM2), and staff 3 (S3) to obtain more information. On 08/25/2023, Community Care Licensing received allegations that staff physically restrained minor; staff handled minor in a rough manner; and staff made inappropriate comments towards minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/19/2024

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

met_with: House Manager- Danielle Mitchell


raw_content:
Narrative:
During investigation, confidential interviews stated that C1 was involved in a commercially sexually exploited children (CSEC) prior to placement and the information was noted in C1's needs and services plan. Other confidential interviews denied witnessing any staff acting inappropriately with any client. Additionally, confidential interviews stated S4 is no longer at the facility. Additional confidential witnesses didn't provide any relevant information pertaining to the allegation. LPA Enriquez was unable to gather additional information. Based on confidential interviews and a review of pertinent documents, the allegations that staff did not prevent inappropriate interactions between S4 and C1 in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to Licensee Zenobia Groves.

Investigation Findings:
13On 07/19/24, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with Licensee Zenobia Groves to deliver the investigative finding for the allegation listed above. On May 26, 2024, LPA Rafael Enriquez conducted a health and safety inspection and LPA didn't observe any health and safety hazards. In addition, LPA R. Enriquez interviewed client 1, client 2, staff 1, staff 2 and staff 3 (C1, C2, S1, S2, S3). Lpa R. Enriquez obtained documents pertinent to the investigation. On 05/10/2024, Community Care Licensing received allegations that staff did not prevent inappropriate interactions between staff and minor in care. It was specifically reported that C1 asked staff 4 (S4) if C1 could perform oral copulation on S4. It was disclosed that S4 reported the concerns to other staff and that C1 stated S4 was lying. It was reported that C1 had been harassing S4 and that C1 stated that S4 said they could get involved once C1 leave placement. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/19/2024

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

met_with: Licensee- Zenobia Groves


raw_content:
Narrative:
A confidential interview didn't provide any relevant information. LPA was unable to receive additional information. Regarding the allegation that staff handled minor in a rough manner, confidential interviews denied that staff were rough with clients but instead were stricter by having clients follow their schedules. Other confidential interviews went on to say staff may use restraints, but they are not rough while performing the approved restraint. Another confidential interview stated that FC1 has behaviors such as making false allegations and is fascinated by law enforcement (LE) therefore FC1 will try to get LE involved in order to staff in trouble. Based on confidential interviews and a review of pertinent documents, the allegations that staff hit FC1 in care and staff handled FC1 in a rough manner may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to House Manager Danielle Mitchell

Investigation Findings:
13On 9/4/2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with House Manager Danielle Mitchell to deliver the investigative finding for the allegations listed above. On 01/23/24, Community Care Licensing received allegations that staff hit minor in care and staff handled minor in a rough manner. On 01/29/ LPA Karen Beal initiated the complaint, obtained pertinent documents, and interviewed licensee, county social worker and foster child 1 (FC1). In addition, LPA Maryjane Perez and Licensing Program Manager (LPM) Abdoulaye Traore conducted an inspection at the facility and conducted interviews with the house manager (HM) and a staff (S1). In regard to the allegation that staff hit a minor in care, confidential interviews stated that staff verbally redirects clients or uses safe and positive approach (SPA) holds in worst case scenarios. Other confidential interviews stated that staff do not use physical discipline. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 09/04/2024

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

met_with: House Manager Danielle Mitchell


raw_content:
Narrative:
and clients get injured from the restraints. Another confidential interview stated that four staff members perform the hold, and the hold will last until paramedics arrive. It was specifically reported that a client has been "pinned against the wall and choked" during a restraint. A confidential interview stated that clients have not been choked while in a restraint but have been pinned against the wall. However, another confidential interview stated that C1 has never reported to SW that they have been choked or pinned to a wall while being restrained. While another confidential interview stated several clients have complained about the restraints. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that staff inappropriately restrained minor in care may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to house manager Danielle Mitchell.

Investigation Findings:
13On April 28, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Zenobia Groves Small Family Home (SFH) met with house manger Danielle Mitchell to deliver the finding for the above stated allegation. On 10/29/2024, Community Care Licensing received complaint allegation that staff inappropriately restrained minor in care. On October 30, 2024, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed staff 1, staff 2, staff 3, staff 4, staff 5, staff 6 (S1, S2, S3, S4, S5, S6), Social Worker (SW), client 1, client 2 and client 3 (C1, C2, & C3). During investigations, confidential interviews reported that clients are restrained properly by using crisis intervention prevention (CPI) and are held no longer than 10 minutes. It was also stated that all staff are CPI certified and two staff perform the hold while another staff times it. Another confidential interview stated when a client is being restrained, it is due to the clients self-harming behaviors or client's aggressive behavior to staff. Another confidential interview stated that staff restrain for any little incident UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 04/28/2025

met_with: House Manger- Danielle Mitchell


raw_content:
Narrative:
Another confidential interview stated that one time when they were restrained, they felt like they couldn't breathe. Other confidential interviews stated that C1 is known to make allegations about staff when they are unhappy. Based on confidential interviews and a review of pertinent documents, the allegations that due to a manual restraint, C1 was injured in care and staff handled C1 in a rough manner may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted a copy of this report, LIC 811 and appeal rights were explained and given to assistant house manager Judithtrixia Agapito.

Investigation Findings:
13On May 23rd, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with assistant house manager Judithtrixia Agapito to deliver the finding for the above stated allegations involving staff and clients listed on the Confidential Names (LIC 811). On 12/23/24, Community Care Licensing received complaint allegation that due to a manual restraint, a minor was injured in care and staff handled minor in a rough manner. LPA conducted a health and safety inspection at the facility where no immediate health and safety hazards were observed. Additionally, LPA interviewed staff 1 (S1), staff 2 (S2), staff 3 (S3), staff4 (S4), client 1 (C1), client 2 (C2) and client 3 (C3). During investigation confidential interviews stated that staff restrain clients using Crisis Prevention Intervention (CPI) but only when a client is being a danger to others or themselves. Other confidential interviews stated they get injured when being restrained by staff. While another confidential interview stated that clients will cause harm to themselves while being in a restraint. Other confidential interviews stated that staff have never been rough with the clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 05/23/2025

met_with: Assistant House Manager Judithtrixia Agapito


raw_content:
Narrative:
working in the facility but if they did, they would report it. LPA did not receive additional information. Regarding the allegation that staff do not maintain a safe environment for children in care, confidential interviews stated that the clients like living in the home and that they feel safe. Another confidential interview stated that there had been a random car driving around the neighborhood sparking some concern, but police had taken care of it. Other confidential interviews stated that they don't really like living in the SFH and they want to move on. However, other confidential interviews ensured that clients and staff are safe while in care. Based on confidential interviews and a review of pertinent documents, the allegations that staff does not prevent C1 from using drugs in the facility and staff do not maintain a safe environment for children in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report were reviewed and provided to licensee Zenobia Groves.

Investigation Findings:
13On July 16, 2025 , Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with licensee Zenobia Groves to deliver the finding for the above stated allegations. On May 29, 2025, Community Care Licensing received a complaint alleging staff does not prevent minor from using drugs in the facility and staff do not maintain a safe environment for children in care. On May 30, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed licensee (LS), staff 2 (S2), staff 3 (S3), staff 4 (S4) staff 5 (S5), client 2 (C2) and attempted to interview client 1 (C1). In regard to the allegation that staff does not prevent minor from using drugs in the facility, confidential interviews disclosed that if a client in the home is in possession of drugs the staff do their best to confiscate them. Other confidential interviews stated that C1 has barricaded themselves in a bathroom to use drugs. Other confidential interviews stated they have not encountered any drug use from clients while UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/16/2025


met_with: Licenseee- Zenobia Groves

narrative: working in the facility but if they did, they would report it. LPA did not receive additional information. Regarding the allegation that staff do not maintain a safe environment for children in care, confidential interviews stated that the clients like living in the home and that they feel safe. Another confidential interview stated that there had been a random car driving around the neighborhood sparking some concern, but police had taken care of it. Other confidential interviews stated that they don't really like living in the SFH and they want to move on. However, other confidential interviews ensured that clients and staff are safe while in care. Based on confidential interviews and a review of pertinent documents, the allegations that staff does not prevent C1 from using drugs in the facility and staff do not maintain a safe environment for children in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report were reviewed and provided to licensee Zenobia Groves.

investigation_findings: 13On July 16, 2025 , Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with licensee Zenobia Groves to deliver the finding for the above stated allegations. On May 29, 2025, Community Care Licensing received a complaint alleging staff does not prevent minor from using drugs in the facility and staff do not maintain a safe environment for children in care. On May 30, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed licensee (LS), staff 2 (S2), staff 3 (S3), staff 4 (S4) staff 5 (S5), client 2 (C2) and attempted to interview client 1 (C1). In regard to the allegation that staff does not prevent minor from using drugs in the facility, confidential interviews disclosed that if a client in the home is in possession of drugs the staff do their best to confiscate them. Other confidential interviews stated that C1 has barricaded themselves in a bathroom to use drugs. Other confidential interviews stated they have not encountered any drug use from clients while UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/16/2025


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2022, at 9:00am, Licensing Program Analyst (LPA) Linda Haynes and Licensing Program Manager (LPM) Cheraki Davis met with applicant Zenobia Groves on this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA and LPM requested a copy of licensee's transcripts or copies of certificates to meet criteria for open small family home. Exit interviewed conducted. A copy of this report was given and explained to applicant Zenobia Groves.

met_with: Zenobia Groves


facility_name: ZION'S FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On August 27, 2025, at 09:30 a.m., a Component II orientation was conducted at the Monterey Park Children's Residential Program Regional Office with Zion Small Family Home (SFH) applicants Peter Everett and Noeline Cheruto. Present for the Department were Licensing Program Analyst (LPA) Brent Lockhart, and Licensing Program Manager (LPM) Jean Herring. The purpose of the meeting was to review and discuss the facility's Application Instructions for a Facility License (LIC281) submission. LPA and LPM went over Section A Licensing Forms and Section B Supportive Documents of the Licensee's application that were missing forms, needed corrections and /or revisions. LPA Lockhart instructed Licensee to make corrections and/or revisions to the appropriate sections of the application (Sections A and B) and then resubmit to LPA via email on or before September 15, 2025. Exit interview conducted. Meeting adjourned.

met_with: Peter Everett


facility_name: FIELDS COMPREHENSIVE YOUTH

summary: Facility Evaluation

raw_content:
Narrative:
On March 9, 2026, at 11:10 am, Licensing Program Analyst (LPA) Charmaine Linley conducted an announced pre licensing visit. LPA met with Assistant Director/Chief Financial Officer, Josetti Fields, and Facility Administrator, and Lekeba Riley, who provided LPA a guided indoor and outdoor tour of the facility. Currently, there are no clients in placement. The facility is a one-story building with three bedrooms and two bathrooms which are set up as follows: Bedroom #1 (Clients) has two single beds and sleeps two clients. Bedroom #2 (Clients) has two single beds and will sleep two clients. Bedroom #3 (Office) is the staff office space, does not have any beds and will not have any clients sleeping in this room. The facility also consists of a family room, living room, kitchen, dining room, two bathrooms, a laundry room located in the hallway next to the bathroom and garage, a two car garage, and the backyard. There is no pool at the home at the time of this inspection. There is a water fountain located on the patio that was non-operable during the inspection. There are three enclosed gas fireplaces located in the family room, living room and staff office. The fireplaces are secured by glass doors. The Client's bedrooms were arranged so that no more than two clients will be in a room. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There were six smoke detectors in every bedroom and all three hallways. There was one carbon monoxide detector in the staff office. The detectors *** Licensing Program Manager will review the application and this report and once approved, the Facility License will be printed out and emailed to the applicant. An exit interview was conducted, and a copy of the report was provided to Ms. Riley. A copy of this report will be placed in the facility file. were checked and in properly functioning order, except for the smoke detector that was in the hallway next to the garage, due to the tall ceilings, it was unable to be tested at this inspection. The home's central air conditioning module was located outside of the home by the patio. The home's water heater was located in the garage. The home appliances were in working order at the time of this inspection. The Client and Staff files will be locked in a locked file cabinet located in a locked closet in the laundry room. There was adequate food storage space. LPA observed a seven day supply of non-perishable food. A trash can for storage of solid waste had a tight-fitting lid and was present in the kitchen. The sharp knives are in a locked file cabinet in the locked closet in the laundry room, inaccessible to clients. The medications will be located in a locked file cabinet in the locked closet in the laundry room. The hot water in the bathroom by the clients bedrooms was measured and registered at 123 degrees at 11:35 am, which is within the regulatory requirements. The hot water in the kitchen was measured and registered at 109 degrees at 11:25 am, which is within the regulatory requirements. The home's First Aid kit was accessible and is located in the staff office and contained all required supplies and there is an additional First Aid kit in the drawer next to the stove/oven in the kitchen. There were two fire extinguishers present in the home located in the family room and dining room. They were observed to be properly charged and inspected by the fire department. There are no firearms or weapons in the home as stated by Ms. Fields. The backyard where clients will have access to play is fenced. The home has four security cameras located in the interior of the home (hallway by the staff office, living room, hallway between the bedrooms, and the hallway next the garage). The home has nine security cameras located outside of the home (three cameras along exterior of the home next to the garage and side yard, three cameras along the back of the home by the grass area, and three cameras alongside the opposite exterior of the home, and there is a Ring doorbell). The facility was reminded to notify LPA Sarah Lo once they receive their first client. The following corrections need to be made and photos will be taken and emailed to LPA Linley: Large kitchen plates Telephone in the dining room, video of dial tone needs to be provided Video of smoke detector checked in the hallway next to the garage. ***

met_with: Lekeba Riles and Josetti Fields