summary: Facility Evaluation

raw_content:
Narrative:
An announced case management inspection was conducted by Licensing Program Analyst (LPA) Babatunde Aborchie on January 7, 2022 at 1:44 pm. LPA met with staff Chocobar who granted LPA access to the Small Family Home (SFH) and Licensee Zenobia Rose joined the visit virtually while staff Chocobar was touring facility with LPA. The purpose of the inspection was to evaluate the facility for a possible increase in the capacity of children as requested by Licensee. Currently the home is licensed to provide care for one ambulatory child. The licensee has requested an increase capacity of 4 ambulatory children. During this inspection, LPA toured the facility with Licensee inside and out. Presently there is one foster child in placement. The home is set up as follows: Bedroom #1 - It had a full-size bed, sleeps one female child age.... Bedroom #2 - It had a twin bed; it will sleep one child- vacant Bedroom #3 - It had a twin bed; I will sleep one child- vacant Bedroom #4 - It had a twin bunk bed; I will sleep one child- vacant. Bedroom #5 - It had a king-size bed, sleeps the licensee. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and objects were locked in a cabinet in the dining room Cleansers/chemicals were inaccessible and stored a locked cabinet in the dining room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature and it was observed to be within the range. First Aid kit were accessible with all required items and it was located in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pool or other body of water. 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 for the license capacity increase will be forwarded to Licensing Program Manager for final approval and pending the receipt of fire clearance from Fire Department approval for a capacity increase of 4. CCL has requested the Licensee update the Plan of Operation to reflect the capacity status. CCL has also requested an updated LIC 500 and LIC An exit interview was conducted. A copy of this report was provided to licensee.


state: CA

facility_name: PRESTON SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
An announced case management inspection was conducted by Licensing Program Analyst (LPA) Babatunde Aborchie on January 7, 2022 at 1:44 pm. LPA met with staff Chocobar who granted LPA access to the Small Family Home (SFH) and administrator Zenobia Groves joined the visit virtually while staff Chocobar was touring facility with LPA. The purpose of the inspection was to evaluate the facility for a possible increase in the capacity of children as requested by Licensee. Currently the home is licensed to provide care for one ambulatory child. The licensee has requested an increase capacity of 4 ambulatory children. During this inspection, LPA toured the facility with Licensee inside and out. Presently there is one foster child in placement. The home is set up as follows: Bedroom #1 - It had a full-size bed, sleeps one female child aged Bedroom #2 - It had a twin bed; it will sleep one child- vacant Bedroom #3 - It had a twin bed; I will sleep one child- vacant Bedroom #4 - It had a twin bunk bed; I will sleep one child- vacant. Bedroom #5 - It had a king-size bed, sleeps the Administrator. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and objects were locked in a cabinet in the dining room Cleansers/chemicals were inaccessible and stored a locked cabinet in the dining room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be within range. First Aid kit were accessible with all required items and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pool or other body of water. 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 for the license capacity increase will be forwarded to Licensing Program Manager for final approval and pending the receipt of fire clearance from Fire Department approval for a capacity increase of 4. CCL has requested the Licensee update the Plan of Operation to reflect the capacity status. CCL has also requested an updated LIC 500 and LIC An exit interview was conducted. A copy of this report was provided to licensee.

report_type: Facility Evaluation

visit_type: Case Management

met_with: Staff Chocobar


summary: Facility Evaluation

raw_content:
Narrative:
On August 11, 2022 at 11: AM, Licensing Program Analyst (LPA) Anne Visaya and Licensing Program Manager (LPM) Abdoulaye Traore arrived at Preston Small Home to conduct annual required inspection. LPA and LPM met with Zenobia Groves who granted access into the home. Currently, there were 4 ambulatory clients developmentally disabled placed in the home and licensed for a capacity of 4. The Facility was toured both inside and out with the Licensee. The home is a two story home and consists of: Upstairs: There was loft play area with toys and games, an office and Laundry room and: Bedroom #1 furnished with full bed size, a closet and plenty of storage space It sleeps a 16- year old client Bedroom #2, furnished with a twin size bed, a closet and plenty of storage space. It sleeps a 9-year-old male client Bedroom #3 furnished with full size bed,a closet and plenty of storage space. it sleeps a 16 year old female client Bedroom # Master bedroom furnished with a king size bed. It sleeps licensees Downstairs: Bedroom #5, furnished with a queen bed. a closet and plenty of storage space. It sleeps a 15 year-old-female client, a dining room with a large table, a furnished living room with a fireplace, a kitchen, a pantry, a gaming room play area, a bathroom, shoe/storage under the stairs, and the garage. All bedrooms were arranged so that no more than two children share a room, and there was 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 children's belongings. The smoke and carbon monoxide detectors were checked and were working properly. The laundry room was located upstairs with a locked door. There was 7 days of non-perishables and 3 days of fresh perishable foods observed in the pantry, refrigerator and freezer. The fireplace was located in the living room area and it was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where children will have access. Cleansers/chemicals were locked and stored in the locked in the laundry room. Sharp knives and objects were inaccessible and stored in a locked box in the pantry. The hot water temperature was tested and noted to be at 110 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible and contained all required items. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. As stated by Licensee, there were no weapons/firearms. There were no pool or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. During record reviews, LPA and LPM observed that the licensees did not maintain a separate log for each psychotropic medication prescribed to the clients. Facility was given a technical violation (83070(b)(12)). Based on today's inspection and observations, there are no deficiencies being cited at this time in accordance with Title 22, Division 6, Chapters 1 & 4. Exit interview conducted and copies of this report are given.

visit_type: Annual

met_with: Zenobia Groves


summary: Facility Evaluation

raw_content:
Narrative:
On May 26, 2023 at 10: AM, an announced case management inspection was conducted by Licensing Program Analyst (LPA) Babatunde Aborchie. LPA met with staff Joshua Chocobar. The purpose of the inspection was to evaluate the facility for a possible increase in the ambulatory capacity of children as requested by Licensees. Currently, the home is licensed to provide care for four ambulatory children. The licensee is requesting a capacity increase of two to serve a total capacity of six ambulatory children. During this inspection, LPA and staff 1 inspected the facility inside and out. The home consists of: Downstairs: Bedroom #1, It was furnished with one full sized bed. It currently sleeps one client. There were also a family room, a living room, dining area and one bathroom. Upstairs: Bedroom #2, The room was furnished with a full sized bed. It currently sleeps one child. Bedroom #3, The room was furnished with two twin sized beds. It currently sleeps one child. It will also sleep one new placement. Bedroom #4, The room was furnished with a full sized bed. It currently sleeps one client. It will also sleep one new placement. Bedroom #5, Master bedroom. The room consisted of one king sized bed. It sleeps the applicant/Licensee. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication was locked in the medication cabinet. Cleansers/chemicals were locked and stored in the garage cabinet. Sharp knives were inaccessible and stored in a locked box in the garage. There were no guns or weapons as stated by staff 1 at this time. The hot water temperature was tested and noted to be 117 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, 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 for the license capacity change will be forwarded to Licensing Program Manager for final approval.

met_with: Joshua Chocobar


summary: Facility Evaluation

raw_content:
Narrative:
On September 26, 2024, at 9: AM, Licensing Program Analysts (LPAs) Maryjane Perez and Joon Choi arrived at Preston Small Family Home (SFH) to conduct annual required inspection. LPAs met with House Manager (HM) Joshua Chocobar who granted us access into the home. Currently, there were 4 ambulatory clients in the home and licensed for a capacity of 6. The Facility was toured both inside and out with the House Manager. The home is a two story home and consists of: Downstairs: Bedroom #1: Furnished with a queen bed with fitted sheets and blankets and a clothes rack with plenty of storage space. Dining Room: A large table with an Arts and Crafts storage closet Living Room: Furnished living room with a fireplace, couch and TV Kitchen: A stocked pantry, locked Sharps, and fire extinguisher #1 inspected May Living Room #2: play area Bathroom #1: Running water with temperature of 119 degrees Closet #1 : Shoe/storage under the stairs Garage: office space, medications, cleaning supplies, allowance logs, first aid kit, emergency supplies and fire extinguisher # Upstairs: Loft: loft play area with couch and TV Laundry room: locked laundry room with detergents and clients hygiene boxes Bedroom #2: furnished with full bed size, a closet and plenty of storage space. It sleeps one client Bedroom #3: furnished with a full-size bed, a closet and plenty of storage space. It sleeps one client Bedroom #4: furnished with full size bed and a twin size bed a closet and plenty of storage space. It sleeps one client Bedroom #5: Master bedroom furnished with a king size bed and storage space. It sleeps Administrator Bathroom #2: running water with temperature reaching 103 degrees Backyard: enclosed with fence and had side gate along with storage sheds. All bedrooms were arranged for one child per bed. There were adequate drawer and closet space for children's belongings. The smoke and carbon monoxide detectors were checked and were working properly. The facility car had proof of insurance and registration all up to date, there was a fire extinguisher #3 that was up to date, first aid kit with all supplies intact. LPAs interviewed 2 staff and 1 client. LPAs reviewed 5 staff files and 4 client files. No deficiencies were cited during this visit, an exit interview was conducted, and a copy of this report along with a technical assistance was reviewed and provided to house manager Joshua Chocobar.

met_with: House Manager, Joshua Chocoar


summary: Facility Evaluation

raw_content:
Narrative:
On June 19, Licensing Program Analyst (LPA) Maryjane Perez arrived unannounced at Preston Small Family Home (SFH) and met with house manager Joshua Chocobar. The purpose of this visit was to address information that the department has received regarding C1's health and safety concerns. During the inspection LPA obtained pertinent documents, conducted interviews with five staff members (S1, S2, S3, S4, and S5) and conducted a health and safety inspection of the home where no hazards were observed. Due to the need to gather additional information, this case management is being extended. A copy of this report was provided to House Manager Joshua Chocobar .

met_with: Facility Manager- Joshua Chocobar


facility_name: PRISCILLA KYEI SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On May 16th,2025, at 9: AM, Licensing Program Analyst (LPA) Ashley Ruacho and Olena Maico conducted an announced pre-licensing inspection at the above address. LPAs met with Kingsford Kyei, applicant. A physical plant inspection was conducted. The following were observed at the time of inspection: This facility is a two- story home located in a residential neighborhood. This facility consists of five (5) bedrooms, three (3) full bathrooms upstairs and a half bath downstairs. On the first floor there is a living upon the entry of the home with a dining area, family room, office room, kitchen, pantry, laundry room, two car garage, front yard, and backyard space. The backyard has a locked shed for storage with its own AC unit. There are two (2) security cameras located in the front, one on top of the front door, one facing the front door from the roof along with a ring doorbell camera. There are three additional cameras in the backyard, one on each side of the home and one overlooking the backyard. There is one camera located in the garage. There are no cameras inside the home. Overall, the facility is clean, sanitary and in good condition. The facility has no bodies of water. The facility has a centralized heat and air-conditioning unit. Temperatures in all rooms are maintained at 74 degrees (F). The hot water temperature was measured at 123 degrees (F). LPAs instructed Licensee to lower the hot water temperature and ensure it does not exceed 120 degrees (F). LPAs also informed Licensee that should the temperature go above 125 degrees (F) a sign must be posted regarding temperature warning. Carbon monoxide and smoke alarms were tested and observed to be operational. There are two (2) fire extinguishers in kitchen and one in the garage. Disinfectants, cleaning solutions, will be kept and locked in the laundry room. Knives and sharps will be locked in a kitchen cabinet. The facility has a working telephone. The applicant reports no firearms on the premises. The grounds are free from obstructions and hazards. Facility will be utilizing one bedroom for clients. During inspection, LPAs observed that the bedroom which will be used for clients has a bunk bed, closet, and desk space. A crib will be purchased if needed upon placement and set up in the mater bedroom. LPAs also observed extra linens stored in the hallway closet on the second floor. Client records and staff records will be stored and locked in downstairs office. Medications will be centrally stored in the office and a small/mini fridge will be placed in office for medications that need to be refrigerated. A complete first aid kit is readily available in a central location in the facility. Pending Items -Background Clearance are still pending, Licensee was instructed to contact Guardian as it has been pending since 10/17/24. -Applicant reports that Emergency Plan (LIC 601), facility sketch, and personal rights will be posted at the facility. -Posting of menu and activities will be posted in the kitchen. An exit interview was conducted a signed copy of this report was provided to the applicant.

visit_type: Prelicensing

met_with: Kingsford Kyei


summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2024, Licensing Program Analyst (LPA) Demetris Teal and conducted a Component II- in person meeting at the Monterey Park Regional Office. The following were present; Priscilla Kyei and Kingsford Kyei- Applicants of Priscilla Kyei Small Family Home. Purpose of the meeting was to review and discuss the program statement and application. LPA asked Applicants for their picture I.D;'s LPA called the meeting to order and introduced himself. LPA asked Applicants for their orientation documents to sign the Component II and Component III. Copies signed and given to applicant and placed in application file. LPA had previously asked for a copy of the Program Statement to be brought to the meeting. LPA asked Applicants to bring two copies: one to keep for the application folder and another for the Applicants to follow along with. Applicants did bring the folders but during the in-person meeting, it was decided that the Applicants would make corrections to the Program Statement again. LPA will await the updates. LPA asked Applicants if their clearances were completed on Guardian. Applicants were not sure, and a careful check of Guardian showed their status as "pending". Applicants said they were unaware how to contact Guardian. LPA sent information via email and instructed Applicants to please contact Guardian. Continued on page 2 page LPA addressed questions about the qualifications of each applicant in the care of clients they will accept whom have specific medical disabilities. Applicant Priscilla Kyei is a nurse but stated she does not have training with peritoneal dialysis. Applicant Kingsford Kyei stated he does not have formal training for the disabilities listed in the program statement. LPA advised Applicants that they and any staff hired would need to be trained and have proof of training, upon demand, to give the care necessary to any client. LPA advised Applicants to please be familiar with the Small Family Home Regulations. LPA gave Applicants a printout of forms to be aware of from the CDSS public website: LIC 311E, LIC 9122A, LIC 9240 and LPA discussed LIC 624 forms. LPA gave Applicants information regarding the SIR reporting process including the email address and information to send any incident reports. LPA will email the links to the Applicants as well. LPA asked Applicants if there were any placed children in the home. Applicants said no. LPA was advised that the Applicants have three (3) biological children in the home. Applicants said that one of the children is over eighteen (18). LPA asked if the eighteen (18) year old has Guardian clearance. Applicants said no, but he is fingerprinted. LPA asked about the document in the application for health screening and the LIC 503 for Kevin Kyei. Applicants said he is their eighteen (18) year old son, but he will not be working at the home. LPA advised Applicants about their son and what he is not allowed to do with the children that are placed in the home, if he is not an approved babysitter, employee/staff, etc. Applicants asked about family members that are allowed around the placed children. LPA advised that any adult that has a criminal background, or is not approved by the State, should not be around or left alone with the placed children. Any person 18 or over living in the home should be fingerprinted. LPA asked Applicants where they would receive placements from. Applicants said the County and possibly the Regional Center. Continued on page 3 page Applicants asked about visitation of placed children's relatives or biological parents in their home. LPA advised to make sure the program statement addresses it and to review the SFH regulations. LPA discussed the facility sketch and advised to ensure all rooms discussed have dimensions, per the form and clearly show clients rooms, Applicants and biological children's rooms. Component III information discussed. Component III handouts emailed and given to Applicants. LPA requested all updates to the program statement be sent to him by July 13, 2025.

met_with: Priscilla Kyei and Kingsford Kyei- Licensees


summary: Facility Evaluation

raw_content:
Narrative:
On October 15, 2025 at 2: P.M., Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced Post Licensing visit at the above named facility. LPA met with Priscilla Kyei- Licensee and Kingsford Kyei-Staff. The facility currently has a Small Family Home (SFH) license. The SFH is licensed to serve up to two (2) clients ages 0 to 5. The facility serves ambulatory developmentally disabled and medically fragile clients. The facility provides one on one care. There are currently no clients and one (1) staff at the facility. The LPA requested the following: Copy of license and LIC The facility is a two (2)-story home with six (6) bedrooms, living room, kitchen, backyard and three (3) full bathrooms and one-half bathroom with one (1) toilet in each. There are no firearms or ammunition in the facility. There are no bodies of water on the facility premises. At 4: P.M., LPA conducted a walk-through of the entire facility. Continued.... .......continued Physical Plant The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants and cleaning solutions are kept inaccessible and locked in a storage area. LPA did observe cleaning supplies in two (2) of three and a half (3 1/2) bathrooms. Licensee understood to remove cleaning supplies and place them in a locked cabinet or locked area. Sharps/knives are inaccessible and stored in a locked storage area. Facility has non-perishable food for at least one week and perishable food for at least two days. There are no medications stored in the facility. Smoke and carbon monoxide detectors were tested and in proper working order. Fire extinguisher was fully charged. First Aid Kits were not checked: Not required per the tool. No children in the home. LPA did observe a First Aid Kit but did not check the contents. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 120-125 degrees F. All sinks, showers and toilets are in working order. The SFH do not have any placed children. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Overall, facility is clean, safe, sanitary and in good repair. Operations There are no clients in care. The facility administrator/licensee and capable staff are responsible for communicating with emergency personnel in the facility. Client Records There are no clients in care. Staff Records There are no clients in care. There was no request, per the tool, to review staff records. There was one technical advisories assessed during this inspection. Exit interview conducted.

met_with: Priscilla Kyei- Licensee


facility_name: PROSPERITY HAVEN INC

summary: Facility Evaluation

raw_content:
Narrative:
On March 20, 2025, at PM, a Component II Office Visit was held to discuss the application received for Prosperity Haven Inc. located at W. Ave. J- Lancaster, CA 93536. Attending Component II were the following individuals: Rene Abarca, Applicant, Dimitri Turner, Assistant Caregiver, Erika Butler, Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: 1. First Aid/CPR cards. Training will be completed in person. 2. Program Statement revisions section B7-B9. 3. Prelicensing inspection will be scheduled. Continued on C The Applicant was advised of the following revision and/or corrections needed to the application and/or Program Statement: Revisions are due by April 20, 2025. Email revisions to erika.butler@dss.ca.gov. LPA will call Applicant and advise the date and time of Pre-Licensing Visit. A copy of this report was provided to the Applicant, Rene Abarca.

met_with: Rene Abarca


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2025, at AM Licensing Program Analyst (LPA) Cheri Wilkerson, and Licensing Program Manager (LPM) JoAunne' Griffin arrived at Prosperity Haven for the purpose of conducting a Pre-Licensing Inspection. LPA and LPM met with Dimitri Turner, Assistant Caregiver who granted access to the home and together a tour of the interior and exterior home was conducted. Currently living in the home is the Applicant and Assistant Caregiver. The health and safety assessment was conducted. The home is set up as follows: This is a two-story four-bedroom, three-bathroom home located in a residential area. The home consists of an open concept living room, dining area, kitchen, loft, laundry space, backyard area, and attached garage. Livingroom: is equipped with mounted TV, one chair, couch, and faux fireplace. Dining area: is equipped with a granite island and three chairs. Loft: is equipped with a mounted TV, chair, desk, folding table, and two chairs. Kitchen: is equipped with a refrigerator/freezer, a four-burner gas stove (all burners were operational at the time of the inspection), microwave, and dishwasher. Sharp knives are kept inaccessible in a locked Continued on LIC 809-C cabinet in kitchen. LPA observed a covered trash can, dishes, and eating utensils. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. Bedroom #1: is located downstairs. Bedroom is equipped with a full-size bed, adequate closet space, television, adequate lighting, and windows. Bedroom has been designated as a guest bedroom. Bedroom #2: is located upstairs and will be occupied by Applicant and Assistant Caregiver. Bedroom is equipped with two full-size beds, adequate closet and dresser space, adequate lighting, and windows. Bathroom #2 is in bedroom #2 and was observed to be clean and in good repair. Bedroom #3: is located upstairs and will be occupied by child in care. Bedroom is equipped with a full-size bed, adequate closet and dresser space, adequate lighting, and windows. Bedroom #4: is located upstairs and will be occupied by child in care. Bedroom is equipped with a full-size bed, adequate closet and dresser space, adequate lighting, and windows. Bathrooms: Bathroom #1 is located downstairs in hallway near entrance and bathroom #3 is located upstairs in hallway next to laundry space. Bathrooms were observed to be clean and in working condition. Laundry Space: is located upstairs and consist of washer and dryer and cleaning supplies. Laundry space will remain locked and inaccessible to children in care. Vehicle: The Applicant will use a Dodge Charger and a Toyota Camry LE to transport children in care. Insurance is valid from January 30, 2025 -July 30, 2025 for the Camry LE. The home's temperature is maintained by central air/heating. LPA observed one fully charged fire extinguisher which is located in the entrance to the garage. Extra linens are stored in the linen closet located upstairs in the hallway. The dual smoke/carbon monoxide detectors were tested and found to be Continued on LIC 809-C in working order. First Aid kit was found to be complete with required items. Home is equipped with sprinkler system. Home was observed to have cameras in the Livingroom, downstairs hallway and upstairs hallway. Garage was observed to be used as storage space. Disinfectants and cleaning solutions are kept under kitchen sink and is locked and inaccessible to children in care. LPA reminded Applicant to ensure the following when children are in placement: Children are accorded personal rights, and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, discipline policies and procedures will be posted in common area of home. Applicant was advised that the following need to be completed prior to licensing. · Purchase a mobile phone for children in care use. · Post required postings in common area of home. · Component III will be scheduled. · Applicant will submit LIC 200 to reduce capacity to two. An exit interview was conducted with Dimitri Turner. A copy of this report will be emailed to prosperityhaven24@gmail.com.

met_with: Dimitri Turner, Assistant Caregiver


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2025, at 2: PM, Licensing Program Analyst (LPA), Erika Butler conducted a Small Family Home (SFH) Component III office meeting with Applicant, Rene Abarca. LPA Butler met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating a SFH, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensing of facility will be May 1, 2025. A copy of this report was provided to the Applicant, Rene Abarca.


summary: Facility Evaluation

raw_content:
Narrative:
On 7/8/2025, at 9:18 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at Prosperity Haven Inc. (Small Family Home), for the purpose of conducting a required Post-Licensing Inspection. LPA contacted Facility Administrator (FA), Dimitri Turner, and FA stated he was currently at work, and he could come to the facility. At 10:55 am, LPA Gomez met with Facility Administrator (FA), Dimitri Turner, who granted access to the facility and provided a tour of the facility. This small family home is a two-story four-bedroom, three-bathroom home located in a residential area. The home consists of an open concept living room, dining area, kitchen, loft, laundry space, backyard, and attached garage. There are no clients at the time of the inspection. During the time of inspection, LPA Nestor conducted an inspection of the following areas: Livingroom: equipped with a mounted tv, one lounge chair, couch, and a faux fireplace. Dining area: equipped with granite island and three chairs. Kitchen: equipped with a refrigerator/freezer, a four-burner gas stove (all burners were operational at the time of the inspection), microwave, and dishwasher. Sharp knives are kept inaccessible in a locked cabinet in the kitchen. Continue on 809-C (Page 1) LPA observed a covered trash can, dishes, and eating utensils. LPA observed ample and non-perishable food items. Disinfectants and cleaning solutions are kept under the kitchen sink in a locked cabinet. Loft: equipped with a mounted tv, three chairs, desk, and a folding table. Laundry space: located upstairs. Equipped with a washer and dryer. Laundry space will remain locked and inaccessible to children in care. Backyard: equipped with a grill. The backyard area is mostly empty space. Garage: Used for storage and contains a tankless water heater. The applicant stated that he plans on installing a second fridge in the garage. Licensee is storing a Ford Ranger (purple) for a relative in the garage that will not be used to transport clients. Bedroom #4: located downstairs. Currently vacant. The bedroom is equipped with a full-size bed, adequate closet space, television, adequate lighting, and windows. The bedroom has been designated as a guest bedroom, but the applicant stated that they can use the bedroom for clients if necessary. Bedroom #3: located upstairs. Currently occupied by the applicant and assistant caregiver. The bedroom is equipped with two full-size beds, adequate closet and dresser space, adequate lighting, and windows. This bedroom is equipped with bathroom #2 that was observed to be clean and in good repair. Bedroom #2: located upstairs. Currently vacant. The bedroom is equipped with a full-size bed, adequate closet and dresser space, adequate lighting, and windows. Continue on 809-C (Page 2) Bedroom #1: located upstairs. Currently vacant. The bedroom is equipped with a full-size bed, adequate closet and dresser space, adequate lighting, and windows. Bathrooms: Bathroom #1 is located downstairs in the hallway near the entrance. Bathroom #3 is located upstairs in the hallway next to the laundry space. Bathrooms were observed to be clean and in working conditions. Additional Notes: LPA tested the water temperature in the kitchen. The water temperature results were 103 degrees Fahrenheit which does not fall within regulation. The applicant stated they will adjust the water heater temperature. The home temperature is maintained by central air/heating. The facility is equipped with two (2) fire extinguishers which are located by the backdoor exit and upstairs in the loft. LPA observed extra linens that are stored in the linen closet in the upstairs hallway. The dual smoke/carbon monoxide detectors were tested and found to be in working order. LPA observed the first aid kit located in a locked cabinet in the kitchen completed with the required items. The home is equipped with a sprinkler system. The Home was observed to have three (3) cameras located in the living room, downstairs hallway, and upstairs hallway. There is also a ring camera and a doorbell camera. The applicant stated that the doorbell camera does not work. Vehicles: LPA Nestor inspected two (2) facility vehicles in total. Dodge Charger (White) with current registration as stated by the FA. Insured by Direct Auto that expires on 12/11/2025. The vehicle was not at the facility during the time of the inspection. Toyota Camry LE (brownish gold) with current registration as stated by FA. Insured by Infinity Insurance company that expires on 1/30/26. The vehicle was not at the facility during the time of the inspection. Continue on 809-C (Page 3) Staff Interview: LPA Nestor conducted one (1) staff interview with FA. Client Interview: LPA Nestor conducted zero (0) client interviews. The facility did not have any clients at the time of the inspection. There were four (4) deficiencies observed at the time of the inspection. See 809-D. A copy of this report was reviewed and provided to the FA. End of Inspection (Page 4)

met_with: Dimitri Turner - Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 10/29/2025, at 9:20 am, Licensing Program Analyst (LPA) Nestor Gomez returned to the above-mentioned facility to continue the post-licensing inspection that was started on 7/8/2025. LPA Gomez met with Caregiver (CG1), Dimitri Turner, who granted access to the facility. The following was observed during the Inspection: Staff Records Review: LPA reviewed two (2) staff records for the CG1 and CG2. Clients Records Review: LPA did not review any client records. Facility census is zero (0) and has not received any clients. There were no deficiencies observed or cited at this time. Exit interview was conducted with the CG1 and a copy of this report was emailed to the CG1

met_with: Dimitri Turner - Caregiver


summary: Facility Evaluation

raw_content:
Narrative:
On 4/15/2026, at 9:00 am, Licensing Program Analyst (LPA) Nestor Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection. LPA Gomez met with Caregiver (S1), Dimitri Turner who granted access to the facility. Current census is zero (0). This small family home is a two-story four-bedroom, three-bathroom home located in a residential area. The home consists of an open concept living room, dining area, kitchen, loft, laundry space, backyard, and attached garage. There are no clients at the time of the inspection. During the time of inspection, LPA Nestor conducted an inspection of the following areas: Livingroom: equipped with a mounted tv, one lounge chair, couch, and a faux fireplace. Dining area: equipped with granite island and three chairs. Kitchen: equipped with a refrigerator/freezer, a four-burner gas stove (all burners were operational at the time of the inspection), microwave, and dishwasher. Sharp knives are kept inaccessible in a locked cabinet in the kitchen. LPA observed a covered trash can, dishes, and eating utensils. LPA observed ample and non-perishable food items. Disinfectants and cleaning solutions are kept under the kitchen sink in a locked cabinet. Some extra cleaning supplies are kept in the garage, but at the time of the inspection LPA observed that the garage door can be opened from the inside of the house. LPA observed that clients could easily access the garage. FA stated that he would change the lock on the door. The kitchen island has three (3) stools. Continue on 809-C (Page 1) Loft: equipped with a mounted tv, three chairs, desk, and a folding table. Laundry space: located upstairs. Equipped with a washer and dryer. Laundry space will remain locked and inaccessible to children in care. Backyard: equipped with a grill. The backyard area is mostly empty space. Garage: Used for storage and contains a tankless water heater. Bedroom #4: located downstairs. Currently vacant. The bedroom is equipped with a full-size bed, adequate closet space, television, adequate lighting, and windows. The bedroom has been designated as a guest bedroom, but the applicant stated that they can use the bedroom for clients if necessary. Bedroom #3: located upstairs. Currently occupied by the applicant and assistant caregiver. The bedroom is equipped with two full-size beds, adequate closet and dresser space, adequate lighting, and windows. This bedroom is equipped with bathroom #2 that was observed to be clean and in good repair. Bedroom #2: located upstairs. Currently vacant. The bedroom is equipped with a full-size bed, adequate closet and dresser space, adequate lighting, and windows. Bedroom #1: located upstairs. Currently vacant. The bedroom is equipped with a full-size bed, adequate closet and dresser space, adequate lighting, and windows. Bathrooms: Bathroom #1 is located downstairs in the hallway near the entrance. Bathroom #3 is located upstairs in the hallway next to the laundry space. Bathrooms were observed to be clean and in working conditions. Additional Notes: LPA tested the water temperature in the kitchen. The water temperature results were 106 degrees Fahrenheit which meets regulation. The home temperature is maintained by central air/heating. The facility is equipped with two (2) fire extinguishers which are located by the backdoor exit and upstairs in the loft. Continue on 809-C (Page 2) LPA observed extra linens that are stored in the linen closet in the upstairs hallway. The dual smoke/carbon monoxide detectors were tested and found to be in working order. LPA observed the first aid kit located in a locked cabinet in the kitchen completed with the required items. The home is equipped with a sprinkler system. The Home was observed to have four (4) cameras located in the living room, downstairs hallway, the front door and upstairs hallway. Licensee stated that the cameras have audio, are live and would have to contact RING to get the recording. The applicant stated that the doorbell camera does not work. Vehicles are in good condition with no issues. Vehicles: LPA Nestor inspected one (1) facility vehicles in total. Toyota Camry LE (brownish gold) with current registration that expires on 8/8/26. Insured by Infinity Insurance company that expires on 9/29/26. Staff Interview: LPA Nestor conducted one (1) staff interview with S1. Client Interview: LPA Nestor did not conduct any client interviews. Facility does not have any clients. Staff Records Review: LPA reviewed two (2) staff records for the S1 and S2. Clients Records Review: LPA Gomez did not review any client records. Facility does not have any clients. LPA Nestor will return to complete the inspection. There were no deficiencies observed or cited at this time. A copy of this report was reviewed and provided to S1. End of Inspection (Page 3)


facility_name: PURITY GACHUNGA SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On April 09, 2025 at 2: PM, Licensing Program Analyst (LPA) Connie Goldie conducted an in person office meeting with Purity Gachunga, Licensee/Administrator. The purpose of the meeting was to continue the small family home application process by conducting the Component II orientation. LPA Goldie explained the purpose of the meeting to Ms. Gachunga. Documents discussed during time of meeting were the following: Application Instructions for a facility License. Small family home required documents (LIC 281) Fire Clearance (STD 850) Personnel report (LIC 500) Guardian clearances Emergency Disaster Plan (LIC610C) Surety Bond (LIC 400) Facility Sketch (LIC 999) (Camera locations- only a ring doorbell) Control of Property documentation Program Statement- Policy and Procedures discussed during time of meeting were the following Program Purpose and Intake Procedures. Intake Process and Admission Polices Planned Social Activities Medical/Dental Trauma Informed Practices and Procedures Continued on LIC809C Program Statement- Policy and Procedures- contin 6. Camera policies PIN 7. Needs and Services Plans 8. Discharge and removal 9. Visitation 10. Rules of Discipline LPA Goldie received updated LIC999, LIC400, LIC500 and LIC610C. Licensee will provide control of property documentation and additional program statement narratives by 04/23/2025. LPA Goldie scheduled Pre-licensing Inspection for 05/19/2025 at 01: PM. LPA scheduled Component III for 05/14/2025 at 01: PM- 4: PM. Exit interview completed at 04: PM

met_with: Purity Gachunga , Licensee/Administrator


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Connie Goldie made an announced pre-licensing inspection on 05/19/2025 at 01: PM and met with Purity Gachunga, Licensee. LPA Goldie toured the facility inside and out and observed the following: A dual occupancy bedroom with appropriate bedding, supplies and storage. Two restrooms are available to youth, LPA Goldie observed that the water temperature in the restrooms measured 110 degrees Fahrenheit. The kitchen is fully stocked with supplies for youth in care. LPA Goldie observed the oven, stove top, fridge and freezer were working during the inspection. There are some nonperishable foods available during inspection but no perishable supplies were present or necessary. LPA Goldie observed that the smoke detectors were all functioning and there is a carbon monoxide detector that is functioning in the hallway. LPA observed two fire extinguishers are also present. LPA Goldie observed that the yard of the facility is accessible for youth in care. LPA Goldie observed that there are fruit bearing trees in the front yard. Loose bricks were accessible and will be removed from the backyard. Outdoor activities are available. LPA Goldie observed that the locked cabinet for cleaning supplies is in the laundry area and that there is adequate storage for washing supplies. LPA Goldie observed the common area of the living room has appropriate seating for clients, family members and guests and, includes a television and books.. LPA Goldie advised licensee the program statement is still under review. Until the Program Statement is complete and approved , background clearances have been received and yard debris is removed the facility cannot be issued a license. Exit interview was conducted and document was provided.

met_with: Purity Gachunga, Licensee


facility_name: PURITY SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On July 9, Licensing Program Analyst (LPA) Maryjane Perez arrived at Purity Small Family Home (SFH) for a change of location pre-licensing inspection. LPA met with licensee Purity Ateku who led a tour of the home. The facility was toured both inside and out. The licensee is applying to serve 4 clients ages 3 to 17 years old at the new location. The home is a two story building with five bedrooms and three bathrooms. The downstairs consisted of an office area where clients files/ personnel records were stored in a locked cabinet. There was a dining room area with adequate seating. Bathroom #1 was fully functioning and had water temperature measuring 110.4 degrees Fahrenheit. There was a hallway with fire extinguisher #1 and a storage closet storing extra house hold items. Bedroom #1 had two twin size beds, with all required bedding, closet/dresser space and will be utilized for two clients- currently vacant. The laundry room was accessible to clients but had a locked cabinet storing laundry detergent's. There was a living room area with a screened fire place and adequate seating. The kitchen had all required postings such as personal rights, visitation policy, emergency plan, facility sketch and house rules. There were a locked cabinets for storing medications, first aid kit. and sharp objects. The upstairs consisted of a hallway with fire extinguisher #2 that was operable, bedroom #2 that had a queen size bed, fully furnished and will be utilized for guest. Bathroom #2 was fully functioning with dual sinks and a shower. Bedroom #3 was a guest bedroom and had a queen size bed with a desk and computer. Bedroom #4 had two twin size beds, all required bedding, dresser/closet space and will be utilized for two clients- currently vacant. Bedroom #5 was the master bedroom for licensee that will be locked at all times and had bathroom #3, closet space, and a balcony that will be off limits without adult supervision. The backyard where children will have access to play was completely fenced, free of hazards, had two side gates with latches for emergency use and there was no pools or other bodies of water. The garage was a two car garage and was free of hazards. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawers and closets for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. All hazardous items have been properly made inaccessible to areas where clients/children will have access. There was a stationed land line service and trash cans had tight fitting lids. As stated by licensee, there were no weapons/firearms There are no deficiencies observed at this time. Based on this inspection, the home is appropriate for a capacity of 4 ambulatory clients. The request for licensure will be forwarded to Licensing Program Manager for final review and approval. An exit interview was conducted. A copy of this report was provided to licensee Purity Ateku

met_with: Licensee- Purity Ateku


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
During confidential interviews it was reported that licensees always make sure that C1 has an abundance of the supplies needed for C1 being incontinent such as extra catheters, diapers, and wipes. Other confidential interviews stated that C1 has the supplies needed for being incontinent and trusts C1 when C1 states they have packed their supplies for school or other outings. Another confidential interview stated they had seen C1's backpack not have the required supplies needed and had also seen a used diaper in the backpack that the school disposed of. Confidential interview stated licensees don't always check C1's bag to make sure C1 has hygienic supplies. LPA received conflicting information. Regarding the allegation that licensees did not supply the needs and service plans for a minor to school personnel, it was reported that licensees weren't aware that they needed to provide the school with a needs and services plan, therefore, they did not. Another confidential interview stated before C1 started school LS filled out the enrollment forms and stated that C1 was incontinent and used a catheter. Confidential interview further explained that they had received a message stating C1 was ready to start school and wasn't asked to bring in any supporting documents. It wasn't until a couple of days into school that the school started asking for a letter signed by the doctor stating C1 is independent when using the catheter. Another confidential interview stated that it was not in C1's school file that C1 was incontinent and they didn't find out that C1 was incontinent until C1's third day being a student there. Based on confidential interviews, the allegations that licensee did not meet a minor's catheter needs and licensee did not supply the needs and service plans for a minor to school personnel may have happened or are valid, but there is not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated. An exit interview was conducted, a copy of this report, LIC811 and appeal rights were provided to licensee Purity Ateku.

Investigation Findings:
13On November 07, 2025, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Purity Small Family Home (SFH) and met with licensee Purity Ateku to deliver the finding for the above stated allegations. On August 24, 2025, Community Care Licensing received complaint alleging that licensee did not meet a minor's catheter needs and licensee did not supply the needs and service plans for a minor to school personnel. On August 29, 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), client 1 (C1), client 2 (C2), teacher (TH) and attempted to interview client 3 (C3). It was alleged that licensee did not meet a minor's catheter needs. Specifically, the school discovered that C1 has a catheterization that needs to be changed every 3 hours. In addition, catheterization releases urine from a tube and if not done may lead to infection. It was indicated that the school was not notified about C1's condition and licensee did not provide any documentation for the school. 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: PURITY SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 11/07/2025

report_type: Complaint Investigation

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
revealed conflicting statements. Some confidential interviews indicated that the bruising came from a diaper that was put on FC1 while away from the facility and the diaper was too small for FC1, and the diaper was changed once FC1 returned to the facility. Other interviews indicated that FC1 had injuries from other children at school and the school was notified, however, interviews could not recall specific injuries. While other interviews indicated that they could not recall seeing any scratches or bruises on FC1. Thus, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that FC1 sustained unexplained injuries while in care, 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 Purity Ateku. A copy of this report will be placed in the facility file.

Investigation Findings:
13On May 19. 2025, at 2:45 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Purity Ateku, Licensee, to discuss the investigative finding for the allegation noted above. LPA Rachel Vanegas conducted an inspection of the facility on February 18, 2025, and no deficiencies were observed. LPA Vanegas interviewed two Foster Children (FC3-4), two staff (S1-2) and LPA was unable to interview two Foster Children (FC1-2), due to being unable to communicate, due to their young age. LPA Linley interviewed one County Social Worker (CSW1) one Staff (S3), and LPA was unable to interview two County Social Workers (CSW2-3), despite multiple attempts to contact them. LPA reviewed the facility documents during the investigation. On February 13, 2025, Community Care Licensing (CCL) received an allegation that minor sustained unexplained injuries while in care. It was reported that while staff were changing FC1's diaper, they observed two red marks on FC1 under the diaper and observed bruising around the diaper area. Confidential interviews 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: PURITY SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 05/19/2025

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

met_with: Purity Ateku


summary: Facility Evaluation

raw_content:
Narrative:
On August 16, 2023 at 2: PM, Licensing Program Analyst (LPA) Linda Haynes began a pre-licensing inspection for Purity Small Family Home license. LPA met with applicant Purity Ateku who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there is no client in the home. The applicant is applying to serve 4 client ages 3 to 17. The home is a two story building with four bedrooms and three bathrooms which are set up as follows: · Bedroom #1 (master) has one bed sleeps the applicant and spouse and has a master bathroom · Bedroom #2 (Client's) was vacant has two twin beds, it will sleep two clients. · Bedroom #3 (Client's) was vacant has one twin bed and one full bed, it will sleep two client's. · Bedroom # 4 (Guest) has one queen bed and will serve as a guest bedroom · A great room/living room, kitchen, dining area, three bathrooms, a loft, an attached two car garage, and the backyard. The Client's bedroom was arranged so that no more than two clients will be in the room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector in every bedroom. The four smoke detectors were checked, and they were working properly. There are two Carbon Monoxide detectors one located in the dining area and one is located in the loft and were working properly. There is no dedicated phone line. The home's central air conditioning module was located on the back porch. The home's hot water heater was located inside the garage. The appliances were in working order. The client's files will be locked in a cabinet in the office. There was adequate food storage space. There was a two day supply of perishable foods and a week of non-perishable foods. A proper storage of all food was discussed. A trash can for storage of solid waste had a tight fitting lid. The sharp knives are in a locked kitchen cabinet. The medications are located in a locked cabinet in the kitchen. The hot water in bathroom one (master) measured to be 112.7 degrees Fahrenheit, in bathroom two 113 degrees Fahrenheit, and in bathroom three 112.8 degrees Fahrenheit. The home's First Aid kit was accessible and is located in the pantry. Two fire extinguishers were present in the home one is located in the pantry and one is located upstairs. They were observed to be properly charged and inspected by the fire department. There is no firearm in the home as stated by the applicant. There is no pool or other body of water. The backyard where clients will have access to play was fenced. The following items need to be corrected · Dedicated telephone line · Lock up cleaning supplies · Fix hole on first landing going up the stairs. · Build dresser for girls room · Put sheets on beds The request for a license will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Purity Ateku.


summary: Facility Evaluation

raw_content:
Narrative:
On August 16, 2023, Licensing Program Analyst (LPA) Linda Haynes, completed a component III with Applicant Purity Ateku. Duty Email Address for Special Incident Reports (SIR) cclpaccr@dss.ca.gov


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, 2024 at 09: AM, Licensing Program Analyst (LPA) Rachel Vanegas, arrived unannounced at the facility listed above for the purpose of conducting a post licensing annual inspection. LPA met with the manager, Benedicto Ateku, who led a tour of the facility both inside and outside. The facility is a two story home with the following layout: First story contains: One living room, one family room that is utilized as a playroom and contains adequate recreational space and games that were observed to be safe, clean, and age appropriate for the children in care, one restroom, bedroom #1, the kitchen, a pantry, a locked cabinet that stores sharps/knives, and medication, chemicals and cleaning supplies are located in a locked cabinet under the kitchen sink. LPA observed an adequate supply of perishable and non perishable food in the pantry and kitchen refrigerator/freezer. The kitchen sink hot water temperature was measured and registered at 118.2 degrees F. There is one fire extinguisher located near the pantry in the kitchen. The first aid kit is accessible in the kitchen and contains required materials. There is a locked door that leads to the attached garage that children in care do not have access to. One storage closet that contains additional supplies such as disposable diapers for clients in care, etc. Telephone services and appliances are in working order at the time of this inspection. Facility sketch, personal rights, LIC 610C, Facility License, and additional required postings are visible in the kitchen. Bedroom #1 - Has one full single bed that sleeps one client. There is adequate storage space for personal belongings in drawers and a closet. There is adequate lighting in the bedroom. The second story contains: Bedroom #2, Bedroom #3, Bedroom #4, two additional restrooms, one play area/loft, a staff desk set-up, a locked laundry room, and a second fire extinguisher is located near the staff desk. **Continued on LIC 812-C** Bedroom #2 - is the master bedroom and it sleeps the licensee and spouse. Bedroom #3 - Has two single beds and sleeps two clients. There is adequate storage space for personal belongings in drawers and a closet. There is adequate lighting in the bedroom. Bedroom #4 - Has one full bed and is vacant. There is a dresser for storage and a walk-in closet for additional storage of personal belongings, etc. Based on observation and records review, the facility is issued one technical violation for California Code of Regulations (CCR) section 80070(b)(6) for missing a signed copy of the admission agreement for Client #3. The facility is issued one Type B Violation for CCR section 80069(c)(1) for not having documented tuberculosis testing or results for three out of three clients in care. Due to time constraints LPA completed an inspection of the physical plant, the facility operational requirements, and three client records reviews (Client #1, Client #2, and Client #3). LPA will return at a later date to complete the staffing requirements and records review. An exit interview was conducted and a copy of this report, LIC 9102, LIC 811, and appeal rights were reviewed and provided to manager - Benedicto Ateku.

met_with: Manager - Benedicto Ateku


summary: Facility Evaluation

raw_content:
Narrative:
On September 23, 2024, Licensing Program Analyst (LPA) Rachel Vanegas conducted a required annual inspection with the post licensing inspection. Due to technical difficulties, completion of the required annual inspection was not recorded. The purpose of this report is to record the annual inspection that was completed. A copy of this report and appeal rights were reviewed and provided to the Licensee, Purity Ateku. This report was sent to licensee electronically for signatures and original signatures are in the facility file.

met_with: Licensee - Purity Ateku Manager - Benedicto Ateku


summary: Facility Evaluation

raw_content:
Narrative:
On October 10, 2024 at 02: PM, Licensing Program Analyst (LPA) Rachel Vanegas arrived at Purity Small Family Home (SFH) for an unannounced post licensing annual continuation visit. LPA was met by the licensee, Purity Ateku. The physical plant, Operation Requirements, and client records were inspected on September 23, 2024. LPA continued the inspection by conducting staff file reviews for Staff 1 (S1), Staff 2 (S2), and Staff 3 (S3). LPA observed documents in the files including: Drivers License, CPR/First Aid certificates, Background Clearance, Health Screening, Employment Application, Job Duties, etc. Staff files for S1, S2, and S3 did not contain documentation regarding initial and on-going training requirements. Based on observation and record review, the facility is issued one technical violation in accordance with California Code of Regulations (CCR) Title Section 83064(h) for not having documentation regarding initial and on-going training requirements. An exit interview was conducted and a copy of this report, LIC 811, LIC 9120, and appeal rights were reviewed and provided to the licensee, Purity Ateku.

met_with: Licensee - Purity Ateku


facility_name: RADIANT ROOTS SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On February 12, at 11: AM, Licensing Program Analyst (LPA) Jacob Salem began a pre-licensing inspection for Radiant Roots Small Family Home license. LPA met with applicant Kierstin Dowden who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients placed in the home. The applicant is applying to serve one to two clients age 3-17 years old. The home is a one story building with four bedrooms and two bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed will sleep the licensee, with attached master bathroom. · Bedroom #2 (Biological son) will not be used for clients. · Bedroom #3 (Clients) was vacant, had two twin sized beds. It will sleep two clients. · Bedroom #4 (Guest) is currently being used by the Licensee's sister. · A large family room and kitchen area, dining room, one additional bathroom, an attached garage, a laundry room, storage closet, and backyard. The Clients' bedroom was arranged so that no more than two clients will share the room, and no room commonly used for other purposes is used as a bedroom. There was adequate closet space for the client's belongings, as well as comfortable lighting. The clients' mattresses were in good repair and the beds' sheets were observed to be clean. There were functioning smoke detectors in the home, including the clients' bedroom, as well as a carbon monoxide detector located in the hallway. The clients will use the bathroom across the hall form their designated bedroom. The client bathroom was clean and contained a working shower, sink, and toilet. The bathroom also contains a non-slip rug. The water in the bathroom was measured to be above 120 degrees Fahrenheit, but upon adjustment of the garage water heater the bathroom sink was measured to be 117.0 degrees Fahrenheit. Continued... ...CONTINUED The kitchen area was clean and contained several utensils and dishware for client use. Additionally, the fridge and pantry had adequate food and the licensee provided to LPA a thorough plan for client meals. The home's fire extinguisher is also located in the kitchen. A trash can for storage of solid waste did have a tight-fitting lid and was located in a kitchen. The water temperature in the kitchen was measured at 107.4 degrees Fahrenheit. Disinfectants, cleaning solutions, and medications are all kept locked in the hallway closet. The hallway closet also contains a complete first-aid kit and manual. The client files will be locked inside the kitchen cupboard. The living room area contains a large couch and child play area. Their are age-appropriate activities for clients to use, including toys, video games, books, and a television. The room is clean and free from obstructions, and the fireplace in the living room area is being held closed with twine. Applicant stated there were no weapons or firearms in the home. LPA observed there was no swimming pool or bodies of water on the premises. The licensee's sister has been denied fingerprint clearance and is currently living in the home. Licensee states the uncleared adult is planning on moving out in the next two weeks. The following deficiencies were observed: 1. The fireplace located in the living room needs to be securely fastened and inaccessible to clients. 2. Licensee must obtain telephone service in home. 3. The uncleared adult must move out of the home. The request for a license will be forwarded to the Licensing Program Manager for final approval once the deficiencies are cleared. An exit interview was conducted and a copy of this report was provided to Kierstin Dowden.

met_with: Kierstin Dowden, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On April 12, at 11: AM, Licensing Program Analyst (LPA) Jacob Salem conducted an announced visit to Radiant Roots Small Family Home and met with applicants Kierstin Dowden and Jeremy Gula. The purpose of the visit was to follow-up on a pre-licensing inspection that occurred on 2/12/24. During the visit, LPA observed that all matters that did not meet Community Care Licensing Standards noted during the initial pre-licensing inspection have been addressed and the home is now in compliance with Title 22, Division 6 of the California Code of Regulations, as well as Interim Licensing Standards for Small Family Homes. An exit interview was conducted and a copy of this report was provided to Kierstin Dowden and Jeremy Gula.

met_with: Kierstin Dowden & Jeremy Gula


facility_name: RAHAB MWANGI

summary: Facility Evaluation

raw_content:
Narrative:
On the date listed above, at 1:00 pm, Licensing Program Analyst (LPA) Charmaine Linley conducted Component III for Small Family Homes with Applicant, Rahab Mwangi. A copy of this report was emailed to the Applicant for signature, along with the signed Orientation certificate. A copy of this report will be placed in the facility file.

met_with: Rahab Mwangi


summary: Facility Evaluation

raw_content:
Narrative:
On March 30, 2026, at 11:49 am, Licensing Program Analyst (LPA) Charmaine Linley arrived at the home to conduct a pre-licensing inspection of the facility. LPA met with Applicant Rahab Mwangi, who led a tour of the facility. The facility was located in a subdivision neighborhood with neighbors on both sides of the home. The facility was toured inside and outside with the Applicant. Currently, there are no clients in placement. The facility is a two-story building with five bedrooms and three bathrooms which are set up as follows: Bedroom #1 (Primary) has one Queen-sized bed and sleeps the Licensee. Bedroom #2 (Downstairs) has one King-Sized bed and sleeps the Licensee's adult daughter. Bedroom #3 (Upstairs) has one crib and sleep the Licensee's grand-daughter. Bedroom #4 (Clients) has two single beds and will sleep two clients. Bedroom #5 (Clients) has two single beds and will sleep two clients. The facility also consists of a living room, kitchen, dining area, three bathrooms, a locked laundry room located upstairs next to bedroom #3, a two car garage, and the backyard. There is a working telephone and the cordless phone is in the living room. There is an upstairs loft play area that had a few card games and balls, however, did not have any furniture. The Applicant was encouraged to provide seating in this area for the clients and to purchase additional activities and games upon placement of the first clients. There is a properly fenced and secure fire place in the living room. There is no pool at the home at the time of this inspection. *** 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 bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There were nine smoke detectors in every bedroom and the upstairs hallway and the downstairs hallway next to the garage. There are two plug in carbon monoxide detectors in the downstairs hallway next to the garage and the upstairs hallway. All detectors were checked and in properly functioning order. The home's central air conditioning module was located in the backyard. 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 located in a locked cabinet between the kitchen and living room. There was adequate food storage space. LPA did not observe the food supply as indicated on the menu, however, noted some fresh fruit, cereal and snacks. 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 cabinet next to the kitchen sink and the cabinet is inaccessible to clients. The medications will be located in a locked cabinet between the kitchen and living room. The hot water in the kitchen was measured and registered at 109 degrees at 12:20 pm, which is within the regulatory requirements. The hot water in the downstairs bathroom was measured and registered at 107 degrees at 12:35 pm, which is within the regulatory requirements. The hot water in the upstairs bathroom was measured and registered at 107 degrees at 12:47 pm, which is within the regulatory requirements. The home's First Aid kit was accessible and is located on the cabinet area between the kitchen and living room and did not contain the scissors. There were two fire extinguishers present in the home located on the counter next the kitchen near the sink and one upstairs on the cabinets, where the linens are stored. They were observed to be properly charged at the time of this inspection. There are no firearms or weapons in the home as stated by the applicant. The backyard where clients will have access to play is fenced. The *** home has one Ring doorbell camera on the outside perimeter of the home. There was a lawn trimmer present during the inspection that was moved to the locked laundry room and a candle in the living room that was removed. The following corrections need to be made to the home: Video Camera Information needs to be updated, reference PIN 24-09-CRP: (1) Where video cameras are - or will be - located, include on the Facility Sketch. (2) The purpose of the video cameras. (3) How children and authorized representatives will be informed of the location of video cameras and their purpose. (4) How licensees will work with placing agencies to address situations in which a child objects to video cameras. (5) How video cameras will be used in a trauma-informed manner. (6) Whether video cameras will be livestreamed only or recorded. (7) If recorded, who will have access to the recordings and how will the recordings be stored and safeguarded. The backyard, side yard, and front yard have weeds that need to be removed, all loose items such as screws, wooden boards, bricks, broken pieces of plastic and any other items that are not safe for children need to be removed from each yard. The sliding door window from the backyard into the living room needs to be cleaned. The boxes and recycling in the garage needs to be disposed of or removed from the facility and garage. There are missing light bulbs and light bulbs not working in the upstairs bathroom and they need to be replaced. A current edition of a first aid book approved by the American Red Cross, American Medical Association or a state or federal health agency needs to be provided and stored alongside the first aid kit, along with the scissors. Copies of the employee files need to be created, along with copies of the first aid and other employee documents in the Licensee/Employee file. *** A copy of the client roster will need to be available upon the first client placed in the home. The bedrooms for the clients need to have hangers for the clients clothes, laundry bins/containers, and additional hygiene supplies including deodorant, shampoo and conditioner. Bedroom #3 needs to have the crib for the Licensee's grandchild set up in this bedroom. The items for lunch, dinner and snacks for today will be purchased and photos will be sent to LPA. As a reminder, children will eat the same meals with the Licensee. It is encouraged to paint and cover the previous water stains in the cabinet under the sink in the downstairs bathroom. The Plan of Operations needs to be updated to include the Ring Doorbell policy and remove the non-minor dependents as the facility will not accept non-minor dependents. Photos and videos of the corrections need to be provided via email to the LPA by end of business day on 04/13/2026. A copy of the updated Plan of Operations and Facility Sketch will be emailed to LPA by 04/13/2026 for review before turning in the physical copies to the Riverside Regional Office. LPA may return for a re-inspection and will notify the Applicant in advance. An exit interview was conducted, and a copy of the report was provided to Rahab Mwangi. A copy of this report will be placed in the facility file. The Applicant was asked to notify their LPA once they receive their first client. 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.


summary: Facility Evaluation

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Narrative:
On April 16, 2026, at 11:30 am, Licensing Program Analysts (LPAs) Charmaine Linley and Valerie Wilson arrived at the home to continue a pre-licensing inspection of the facility. LPAs met with Applicant Rahab Mwangi, who led a tour of the facility. The facility is located in a subdivision with neighbors on both sides of the home. The facility was toured inside and outside with the Applicant. Currently, there are no clients in placement. The facility is a two-story building with five bedrooms and three bathrooms which are set up as follows: Bedroom #1 (Primary) has one Queen-sized bed and sleeps the Licensee. Bedroom #2 (Downstairs) has one King-Sized bed and sleeps the Licensee's adult daughter. Bedroom #3 (Upstairs) has one crib and sleep the Licensee's grand-daughter. Licensee will be replacing the crib with an appropriate sized bed and will send a photo of the bed via email to LPA Linley. Bedroom #4 (Clients) has two single beds and will sleep two clients. Bedroom #5 (Clients) has two single beds and will sleep two clients. The facility also consists of a living room, kitchen, dining area, three bathrooms, a locked laundry room located upstairs next to bedroom #3, a two car garage, and the backyard. There is a properly fenced and secure fire place in the living room. There is no pool at the home at the time of this inspection. The Client's bedrooms were arranged so that no more than two client's will be in a room. No room commonly *** used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There was adequate closet and drawer space for the client's belongings. The Client and Staff files will be located in a locked cabinet between the kitchen and living room. There was adequate food storage space. 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 cabinet in the kitchen next to the sink that is inaccessible to clients. The medications will be located in a locked cabinet between the kitchen and living room. The home's First Aid kit was accessible and is located on the cabinet area between the kitchen and living room and contained all required supplies and the first aid manual. The home has one Ring doorbell camera and two cameras on the outside perimeter of the home on the corner of the back wall next to the patio and an additional camera is on the outside wall over the driveway. A copy of the updated Plan of Operations, Facility Sketch, and Menu to include three meals and three snacks with the times and portions sizes listed will be emailed for review to LPA Linley by 04/23/2026 for review before turning in the physical copies to the Riverside Regional Office. The Applicant was asked to notify LPA Wilson once they receive their first client. 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 Rahab Mwangi. A copy of this report will be placed in the facility file.


facility_name: RAISING HOPE SMALL FAMILY HOME

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Narrative:
SW could not be reached. Other confidential interviews stated that C1 believed LS picked up C1 from the hospital, but it was not confirmed. Based on confidential interviews and a review of pertinent documents, the allegation that LS unlawfully evicted C1 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, LIC 811 and appeal rights were explained and given to licensee Katrina Denson.

Investigation Findings:
13On May 1, 2025, Licensing Program Analyst (LPA) Maryjane Perez arrived unannounced at Raising Hope Small Family Home (SFH) and met with licensee Katrina Denson to deliver the finding for the above stated allegation. On 09/09/2024, Community Care Licensing received complaint allegation that Licensee unlawfully evicted a minor. On 9/18/24, LPA R. Enriquez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa R. Enriquez also obtained pertinent documents and interviewed licensee. Additionally, LPA M. Perez interviewed client 1 (C1) and attempted to interview social worker (SW). During investigations, confidential interviews reported that C1 had been hospitalized and was ready for pick up by licensee on 9/6/24. It was specially reported that LS was told if LS wants to keep placement of C1, LS needs to pick C1 up from the hospital and if LS wishes not to keep placement LS needs to give a notice. Confidential interviews stated that licensee had to secure a ride before picking up C1 due to licensee not being able to drive which made it take a little while longer to pick up C1 from the hospital. Confidential interviews also stated LS attempted to contact SW in regard to picking up C1 from the hospital, however, 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: RAISING HOPE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 05/01/2025

met_with: Licensee- Katrina Denson


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Narrative:
Another confidential interview stated C1 makes up things when C1 is upset. Another confidential interview indicated that LS would not allow that to happen. However, a confidential interview maintained that alcohol was offered to C1 and that C1 took the opportunity and drank it. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that licensee is not providing proper supervision to C1 engaging in inappropriate activities may have happened or is valid there was not a preponderance of evidence to support the alleged violation. 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 the Licensee Katrina Denson.

Investigation Findings:
13On October 23, 2025, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Raising Hope Small Family Home (SFH) and met with licensee Katrina Denson to deliver the finding for the above stated allegation. On April 02 2025, Community Care Licensing received a complaint alleging Licensee did not provide a proper supervision to minor engaging in inappropriate activities. On April 04, LPA Maryjane Perez initiated the investigation and conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez obtained pertinent documents and interviewed Licensee (LS) and the biological child (BG). Additionally, LPA C. Ramos interviewed client 1 (C1) and staff 1 (staff 1). In regard to the allegation, it was reported that during licensee's daughter's birthday dinner, the family got together at a relative's house and LS' family were allegedly pressuring and influencing C1 to take a shot of alcohol and LS did not prevent it. During confidential interviews, it was reported that no one offered alcohol to (C1) as C1 is still a 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: RAISING HOPE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/23/2025


summary: Facility Evaluation

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

met_with: Applicant- Katrina Denson


summary: Facility Evaluation

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Narrative:
On August 08, 2024, at 9: AM, Licensing Program Analyst (LPA) Rafael Enriquez began a pre-licensing inspection and component III for Raising Hope Small Family Home for an initial license. LPA met with applicant Katrina Denson who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no children placed in the home. The applicant was approved to serve four children ages 0 to 17. The home is a Two-story building with four bedrooms and three bathrooms which is set up as follows: Downstairs: · Bedroom #1, will sleep two foster children, It was furnished with two twin sized beds. It was vacant. · There was also a formal living room and dining room, a living room, a dining area, a kitchen, a laundry room, a bathroom, and a coat closet. Upstairs: · Bedroom #2, sleeps applicants 17-year-old daughter, It was furnished with a full sized bed. · Bedroom #3 will sleep two foster children, It was furnished with two twin sized beds. It was vacant. · Bedroom #4, the master bedroom, it was furnished with a Cal-king sized bed, a toddler bed, it had a bathroom and a walk-in closet. It sleeps the applicant and her son. · There was also an office area, a loft, and a bathroom. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a cabinet in the kitchen. Cleansers/chemicals were inaccessible and stored in a locked cabinet in the laundry room. There was adequate food storage space and a supply of three days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be at 117.6 degrees. First Aid kit was accessible with all required items, and it was in a kitchen cabinet. A Fire extinguisher was observed and properly charged. The fireplace was in the living room area, and it was properly screened. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pools or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request for licensure will be forwarded to Licensing Program Manager for final approval. Applicant was advised to contact the department within 30 days of their first placement. An exit interview was conducted. A copy of this report was provided to applicant Katrina Denson.

met_with: Applicant - Katrina Denson


summary: Facility Evaluation

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Narrative:
On September 06, 2024, at 9: AM, Licensing Program Analyst (LPA) Rafael Enriquez began a post-licensing inspection for Raising Hope Small Family Home. LPA met with licensee Katrina Denson who led a tour of the home. The facility was toured both inside and out with the licensee. Currently the child in placement is on a 5150 hold. The applicant was approved to serve four children ages 0 to 17. The home is a Two-story building with four bedrooms and three bathrooms which is set up as follows: Downstairs: · Bedroom #1, sleeps applicants 17-year-old daughter, It was furnished with a full sized bed. · There was also a formal living room and dining room, a living room, a dining area, a kitchen, a laundry room, a bathroom, and a coat closet. Upstairs: · Bedroom #2, will sleep two foster children, It was furnished with two twin sized beds. It was vacant · Bedroom #3 will sleep two foster children, It was furnished with two twin sized beds. It sleeps one foster child. · Bedroom #4, the master bedroom, it was furnished with a Cal-king sized bed, a toddler bed, it had a bathroom and a walk-in closet. It sleeps the licensee and her son. · There was also an office area, a loft, and a bathroom. The small family home is operating within capacity/limitation, is clean, safe, sanitary and in good repair, the outdoor area is free of safety hazards, no pool, or other bodies of water on premise. The SFH has adequate supply of perishable and nonperishable foods, chemicals are locked in the laundry room, knives are locked in a kitchen cabinet. The water temperature was measures at 118.9 degrees. Medications are stored in a locked kitchen cabinet, the disaster plan, personal rights, and other documentation are properly posted, smoke detectors are operable/tested. There are no firearms or dangerous weapons per licensee. First aid kit is maintained, and complete First Aid certifications are current and in expire 1/2026. All adults subject to background checks are cleared. There are no deficiencies to be cited at this time. An exit interview was conducted. A copy of this report was provided to licensee Katrina Denson.


summary: Facility Evaluation

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Narrative:
On March 23, 2026, at 12:50 pm, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced annual random inspection at Raising Hope Small Family Home (SFH). LPA met with Administrator Katrina Denson and completed a physical plant inspection at 1: PM. During the physical plant inspection, LPA observed a two-story house with a formal entry and a formal living room with one sofa with a formal dining room that consists of a one table and seven chairs. The kitchen includes a refrigerator/freezer, and food storage areas. There is an adequate supply of perishable and non-perishable foods, including available fruit, and the food menu is posted. All sharps are kept in a locked cabinet drawer. There is one bedroom and restroom downstairs and an entrance into the garage for extra storage space with extra refrigerator and freezer and an extra supply of food. Medication for clients are locked in cabinet. LPA observed stairs that lead to the second floor of the facility. There are two client bedrooms, bedroom one is being occupied by two foster children. Bedroom two is occupied by two foster children and bedroom three is the master bedroom, occupied by the Resource parent. All beds have the appropriate linens, pillows, comforters, and mattresses in good repair. There are two dressers and closet space for each client's clothing. There is a restroom in master bedroom and one main restroom at the top of the stairs on the second floor that is shared by clients. Both restroom sinks have a reading at 120 degrees Fahrenheit. There is a loft area consisting of a television and board games and seating. There is also an office where staff and clienta files are stored. Upstairs there are postings of Grievance Procedures, Visitation Policies, Youth Bill of Rights in English and Spanish, and posted on the wall. Continued on LIC 809-C LPA reviewed three client records, and four staff records. Based on the annual required inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Katrina Denson. Exit interview conducted. A copy of this report and LIC811 were provided to the Administrator, Katrina Denson.

met_with: Katrina Denson, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 27, 2026, at 1: PM, Licensing Program Analyst (LPA) Julian Lucas arrived at Raising Hope Small Family Home (SFH) and was met by the Administrator Katrina Denson. LPA conducted a health and safety inspection of the facility, and no immediate health and safety hazards were observed. The purpose of the visit was to conduct interviews. LPA conducted two interviews. Exit interview conducted and appeal rights explained and a copy of this report was given to the Administrator Katrina Denson.


facility_name: RAZA SMALL FAMILY HOME

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Narrative:
Results from the Department's investigation, consisting of interviews with related parties, inspections, and review of records. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The Department has decided that the allegations of Neglect and Lack of Supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. LPA Rosas provided Technical Assistance Note for 80061 & Reporting Requirements. In addition, provided Technical Assistance Note for 83072.1 (b)(2) and the use of Reasonable and Prudent Parent Standard described in Welfare and Institutions Code Section 362.05. There were no deficiencies observed or cited at this time. Exit interview was conducted with S1 and a copy of this report was left at the facility.

Investigation Findings:
13On July 7, 2022, at 9:30am Licensing Program Analyst (LPA) Olivia Rosas made an announced inspection to Raza Small Family Home the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA Rosas met with Adult#1 (A1) and together discussed the investigation details. Individuals mention in this complaint are identify on the Confidential Names List (LIC811) dated July 7, 2022. During interviews A1 denied the allegations of having lack of supervision and allowing Child#1 (C1) to run away from the home and smoking marijuana. Further, pertinent parties denied having concerns or suspicions of abuse or neglect from A1. Based on the confidential interviews conducted during the investigation process, record review, statements obtained, the allegations cannot be substantiated. Information reviewed produced a lack of evidence to support reported allegations mention above. Report continues on LIC9099C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Kevin C Sauk LICENSING EVALUATOR NAME: Olivia Rosas 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 34-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, FACILITY NAME: RAZA SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 07/07/2022

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

met_with: Adult#1 (A1)