facility_name: CYNTHIA SMALL FAMILY HOME

summary: Facility Evaluation - 4 deficiencies

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jean Stidman made an announced Pre-Licensing inspection on 8/7/23 at 10:15am. During the inspection LPA met with Cynthia & Calleb Aringo, who assisted with the inspection. LPA Stidman conducted a walk-through of the facility inside and out. At time of inspection both applicant's were present and no clients are in placement. The home is a two story four bedroom, three bathroom home. LPA Stidman inspected and/or reviewed the following: Physical Plant: Personal Rights OK Disinfectants/Cleaning solutions inaccessible OK_ Refrigerator Temperature at or below 45 degrees F OK Freezer Temperature at or below 0 degrees OK Nonperishable Foods one week and fresh perishable foods two days minimum_N/A_ Menu present and posted_N/A__ Working telephone OK Carbon monoxide detectors OK_Smoke Detector OK_ First Aid Kit fully stocked OK Common Room available OK Dining area (enough seating, furniture good condition, not broke or damaged) OK Medication centrally stored, locked/inaccessible _N/A Office (locked and privacy) _OK Hot Water between 105-120 degree F (Properly labeled if over 125 degree F_Hot water temp is 107 degrees Farenheit Fire Extinguisher missing purchase/inspection date Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature OK_ Soap and Paper towels OK Laundry Facilities(available, work assign dates) OK Bedrooms-required linen and furnishings one bedroom is missing drawer space_ Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts_OK Facility free of vermin OK Locked Facilities (open locked storage area/building/sheds) OK Bedroom (required bedding/furniture, furniture in good repair) OK Facility citation violation of California Code of Regulations, Title 22, Division 6, Chapter 1, Article 03, regulation 80019(e) Criminal Record Clearance as the applicant's are "In Process" with Guardian for their background clearance. Facility citation violation of California Code of Regulations, Title 22, Division 6, Chapter 4, Article 07, Fixtures, Furniture, Equipment, and Supplies for 83088(f),(g) and (h) for missing toys, games, books and recreational and educational materials for the children, one bedroom is missing a drawer space to accommodate child's clothing and personal belongings and the fire extinguisher is missing documentation of purchase date or inspection date within the last 12 months. Disaster Preparedness The LIC610C disaster and mass casualty plan was reviewed and available. Emergency Intervention The facility will not do any manual restraints. Staffing/Volunteers THe Personnel Roster LIC 500 has the two licensee's and both of these files were reviewed. Client Records No client's files were reviewed. Special Health Care Needs (SHCN) No clients are in placement. The facility is not licensed at this time. An exit interview was conducted with and a copy of this report was left with Cynthia & Calleb Aringo, applicant's.

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility
83088(h): Deficient Practice Statement
1
2
3
4Based on observation, the licensee did not comply with the section cited above of one fire extinguisher (under the kitchen sinks) is missing documentation that it has been purchased or inspected within the last 12 months which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/07/2023
Plan of Correction
1
2
3
4
83088(g): Deficient Practice Statement
1
2
3
4Based on observation, the licensee did not comply with the section cited above in one bedroom at the top of the stairs, first bedroom on the left, out of two bedrooms is missing drawer space to accommodate the child's clothing and personal belongings which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/07/2023
Plan of Correction
1
2
3
4
83088(f): Deficient Practice Statement
1
2
3
4Based on observation, the licensee did not comply with the section cited above, the facility is missing  toys, games, books and recreational and educational materials for the children, based upon their ages, and mental and physical development,  which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/07/2023
Plan of Correction
1
2
3
4

met_with: Cynthia & Calleb Aringo

title:
Fixtures, Furniture, Equipment, and Supplies

(h) The licensee shall keep at least one operational fire extinguisher in the home, as required by Title 24, Part 9, of the California Fire Code.

This requirement is not met as evidenced by

title:
Fixtures, Furniture, Equipment, and Supplies

(g) Each bedroom shall have portable or permanent closets and drawer space to accommodate the child's clothing and personal belongings.

This requirement is not met as evidenced by

title:
Fixtures, Furniture, Equipment, and Supplies

(f) The licensee shall provide toys, games, books and recreational and educational materials for the children, based upon their ages, and mental and physical development.

This requirement is not met as evidenced by


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Kayla Green made an unannounced Post inspection on October 29, 2024 at 9: AM. During the inspection LPA met with Calleb Aringo, Licensee who assisted with the inspection. LPA Green conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection two staff and one client. LPA Green inspected and/or reviewed the following domains in the care tool: Physical Plant: The home is a two story home consisting of 4 bedrooms and 2.5 bathrooms, a dining room, playroom, living room, and kitchen with a backyard and a storage shed outside that is locked. The licensing is posted in the home along with personal rights. All cleaning and disinfectants including laundry equipment is out of reach of children. The hot water temperature is at 115 which is between the requirement of 105-120. Refrigerator Temperature at or below 45 degrees F _40, Freezer Temperature at or below 0 degrees_0___. Nonperishable Foods one week and fresh perishable foods two days minimum__X___ Menu present and posted____X__ Working telephone ____X___ Carbon monoxide detectors _X_Smoke Detector _X____ First Aid Kit fully stocked__X__ Common Room available____X_ Dining area (enough seating, furniture good condition, not broke or damaged) _X_ Medication centrally stored, locked/inaccessible __X___ Office (locked and privacy) ___X_ Fire Extinguisher____X Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature ___X Soap and Paper towels ___X_ Laundry Facilities(available, work assign dates) __X___ Bedrooms-required linen and furnishings ___X___ Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts__X___ Facility free of vermin __X___ Locked Facilities (open locked storage area/building/sheds) __X__ client Bedrooms (required bedding/furniture, furniture in good repair) __X___. Operations: Disaster preparedness, health related services, fire clearance, and register of clients. Cont on C Staffing records: Number of Staff files reviewed ___2___Criminal record clearances verified __X_ First Aid Certificate__X__ Job title/qualification verified ___X___ Client records: Number of Clients files reviewed ____1__Needs and Services Plan _X___ Centrally Stored Medication and log reviewed __X_ JV Reviewed _X_ Psychotropic Medication and log reviewed ___X__Cash Resources__X__ Compatible Assessment__X_. Special Health Care Needs: SHCN plan created by licensed professional and implemented as required __X__ Staff received training _X___ The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees · Administrator Certificate · Emergency Disaster Plan (per H&S Code 1565) · Annual Emergency Intervention Log · Personnel Roster, Facility Sketch, LIC 500, LIC 610C and LIC 308 · Waivers and Exceptions Two staff interviews were conducted. The only client in care is to young to be interviewed. LPA gave the facility TVs for the register of clients, and immunication record to be kept on file. Which LPA went over with them what a register of clients is and what it needs to show as well as informed them to have on file a immunization record that is separate from the doctor summary report. LPA gave a Type B for the CCR: 80069(c)(1) (c) The medical assessment shall include the following: (1) The results of an examination for communicable tuberculosis and other contagious/infectious diseases. This requirement is not met as evidenced by:Based on record review the licensee did not comply with the section cited above in one client record did not have it stated whether or not the client got assessed for it, which poses/posed a potential health, safety or personal rights risk to persons in care. An exit interview was conducted with Calleb and Cynthia Aringo, Licensee and a copy of this report was left with Calleb and Cynthia Aringo, Licensee.

report_type: Facility Evaluation

visit_type: Annual

met_with: Calleb Aringo, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Kayla Green made an unannounced Annual inspection on November 7, 2024 at 10: AM. During the inspection LPA met with Calleb Aringo, Licensee who assisted with the inspection. LPA Green conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection one staff and one client. LPA Green inspected and/or reviewed the following domains in the care tool: Physical Plant: The home is a two story home consisting of 4 bedrooms and 2.5 bathrooms, a dining room, playroom, living room, and kitchen with a backyard and a storage shed outside that is locked. The licensing is posted in the home along with personal rights. All cleaning and disinfectants including laundry equipment is out of reach of children. The hot water temperature is at 115 which is between the requirement of 105-120. Refrigerator Temperature at or below 45 degrees F _40, Freezer Temperature at or below 0 degrees_0___. Nonperishable Foods one week and fresh perishable foods two days minimum__X___ Menu present and posted____X__ Working telephone ____X___ Carbon monoxide detectors _X_Smoke Detector _X____ First Aid Kit fully stocked__X__ Common Room available____X_ Dining area (enough seating, furniture good condition, not broke or damaged) _X_ Medication centrally stored, locked/inaccessible __X___ Office (locked and privacy) ___X_ Fire Extinguisher____X Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature ___X Soap and Paper towels ___X_ Laundry Facilities(available, work assign dates) __X___ Bedrooms-required linen and furnishings ___X___ Motor Vehicle properly maintained , lights, tires, registration/insurance and working seat belts__X___ Facility free of vermin __X___ Locked Facilities (open locked storage area/building/sheds) __X__ client Bedrooms (required bedding/furniture, furniture in good repair) __X___. Operations: Disaster preparedness, health related services, fire clearance, and register of clients. Staffing records: Number of Staff files reviewed ___2___Criminal record clearances verified __X_ First Aid Certificate__X__ Job title/qualification verified ___X___ Client records: Number of Clients files reviewed ____1__Needs and Services Plan _X___ Centrally Stored Medication and log reviewed __X_ JV Reviewed _X_ Psychotropic Medication and log reviewed ___X__Cash Resources__X__ Compatible Assessment__X_. Special Health Care Needs: SHCN plan created by licensed professional and implemented as required __X__ Staff received training _X___ The following items were reviewed for compliance in the regional office prior to the facility inspection: · Annual fees · Administrator Certificate · Emergency Disaster Plan (per H&S Code 1565) · Annual Emergency Intervention Log · Personnel Roster, Facility Sketch, LIC 500, LIC 610C and LIC 308 · Waivers and Exceptions One staff interview was conducted. The only client in care is to young to be interviewed as she is only 8 weeks old. An exit interview was conducted with Calleb Aringo, Licensee and a copy of this report was left with Calleb Aringo, Licensee.


summary: Facility Evaluation - 4 deficiencies

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jean Stidman made an unannounced Annual inspection on 10/23/25 at 10:15am During the inspection LPA met with Cynthia Aringo, Licensee, who assisted with the inspection. LPA conducted a walk-through of the facility inside and out. Facility staff-client ratio at time of inspection three staff and one client were present. Number of staff interviewed two No clients were interviewed. LPA observed the home is a two story, four bedroom, three bathroom home. LPA inspected and/or reviewed the following: Physical Plant: Video Cameras were observed in the kitchen, living room, stairs landing and inside garage, and outside is a doorbell and driveway camera. A baby video monitor was observed in the client's bedroom Posting of license_X_ Personal Rights__X__Disinfectants/Cleaning solutions inaccessible_X_ Two Refrigerator Temperatures are 31 and 34 degrees F Two Freezer Temperatures are -6 and -2 degrees F Nonperishable Foods one week and perishable foods two days minimum__X__Working telephone __X_ Carbon monoxide detectors __X_Smoke Detector _X__ First Aid Kit fully stocked_X__ Common Room available__X__ Dining area (enough seating, furniture good condition, not broke or damaged) __X_ Medication centrally stored, locked/inaccessible _X_ Hot Water between 105-120 degree F_120 degrees_ Fire Extinguishers purchased October 2025. Toilets wash basin, bath and shower fixtures in good repair/no leaks _x Soap and Paper towels __X_ Laundry Facilities(available) __X___ Bedrooms-required linen and furnishings __X___ Facility free of vermin _X__ Bedroom (required bedding/furniture, furniture in good repair) __X___ Disaster Preparedness Disaster and mass casualty plan updated and available __X__ Disaster preparedness supplies verified __X___ Staffing/Volunteers Number of Staff files reviewed _three Criminal record clearances verified three_ First Aid Certificate_three_Client Records Number of Clients files reviewed one Individual Family Service Plan one Medication log reviewed one_ Facility citation violation of California Code of Regulations, Title 22, Division 6, Chapter 1, Article 02. License 80010(a) Limitations on Capacity and Ambulatory Status, Article 03. Application Procedures 80023(d) Disaster and Mass Casualty Plan, Article 06. Continuing Requirements 80070(b) Client Records and 80075(k)(7) Health Related Services, Chapter Article 06. Continuing Requirements Licensee Duties and Responsibilities, and 83070(b) Child's Records The following items were reviewed for compliance: Annual fees, Facility Sketch, LIC500 and LIC610C. An exit interview was conducted and a copy of this report was left with Cynthia Aringo, Licensee.

Deficiencies:
80023(d): Deficient Practice Statement
1
2
3
4Based on interview, the licensee did not comply with the section cited above  as S1 stated they have never done any disaster drills, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/21/2025
Plan of Correction
1
2
3
4
83064(j): Licensee Duties and Responsibilities

(j) The licensee shall complete training that includes the following topics
80070(b): Client Records

(b) Each record must contain information including, but not limited to, the following
83070(b): Child's Records

(b) For each child in the home, the licensee shall maintain a separate, complete, and most up to date record or file that includes the following

met_with: Cynthia Aringo, Licensee

title:
Disaster and Mass Casualty Plan

(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by


facility_name: D & I MORRIS CHILDREN'S HOME

summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Cynthia Galindo conducted an unannounced annual inspection at D&I Morris Children's Home. LPA met with facility representative Irene Morris. LPA inspected the facility, inside and out. Centrally stored medications and sharps are maintained in kitchen in a locked cabinet. All facility smoke detectors appear to be in appropriate working order, fire extinguisher is properly charged and was last serviced May 20, 2021. There is at least one week supply of nonperishable but not enough supply of perishable foods. The facility is maintained at 74 degrees. Hot water temperature measures 115 degrees. Facility does not have any cameras in the facility. There are no bodies of water at the facility. No firearms or weapons are allowed in the facility. There are two pets in the facility. Administrator, Irene Morris is present at the facility a minimum of 20 hours a week, as verified by staff schedule and interviews. Appropriate staff/client ratios were verified during this inspection. The facility employs 5 direct care staff. Four children's and eight staff records were reviewed with Irene Morris. LPA discussed the following with the Administrator: Incident reporting, including incidents; Provider meetings; recent PINs; and updates to the Program Statement. Deficiencies are being cited during this inspection A copy of the report was left at the facility.

met_with: Irene Morris


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Cynthia Galindo conducted an unannounced inspection at D&I Morris. The purpose of the inspection was to clear POC for deficiencies issued during last visit. LPA met with Ana and Denise, child care workers. LPA cleared three POCs and extended one POC. LPA also discussed the waiver approved for NMD. Staff said NMD will be leaving the home next week. No deficiencies will be issued. A copy of this report was left at the facility at the conclusion of inspection.

met_with: Ana Contreras


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Cynthia Galindo arrived at the home and met with Dennis Morris. The purpose of the visit was to make sure the home there were no more kids living in the home. Dennis informed LPA that the home will be shutting down and is surrendering the license as of 05/13/2022. LPA observed there is no more children residing in the home and obtained the licensed signed by the provider.

visit_type: Case Management

met_with: Dennis Morris


summary: Facility Evaluation

raw_content:
Narrative:
On this date, Licensing Program Analyst (LPA) Cynthia Galindo conducted an unannounced Case Management inspection at D&I Morris Children's Home and met with Irene Morris. The purpose of the inspection was to clear a POC. LPA extended the POC deadline via telephone to 12/6/2021. LPA inspected the home and reviewed client and staff files. LPA interviewed staff and confirmed that some of the required training has not been completed. Some POCs were cleared but some were not. Deficiencies will be issued for the uncompleted POCs. A copy of this report was left at the facility at the conclusion of inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On this date Licensing Program Analyst (LPA) Cynthia Galindo conducted an unannounced inspection at D&I Morris. The purpose of the inspection was to clear POC for deficiencies issued during the 12/21/2021 visit. LPA met with Denisse Yanez, child care workers. LPA was unable to clear the POCs during the 2/25/2022 visit due to a family emergency. LPA cleared POCs. The facility is being cited today because the administrator is not regularly present in the home as by definition of small family home, meaning any residential facility in the licensee's family residence proving 24-hour a day care for six children who are mentally disordered, developmentally disable or physically handicapped and who require special care and supervision as a result of such disabilities. No deficiencies will be issued. A copy of this report was left at the facility at the conclusion of inspection.

met_with: Denisse Yanez


facility_name: DAELLA SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
inflict injuries. The confidential interviews continued stating that when C1 exhibited tantrums, staff will redirect and distract C1 from causing injuries. Based on confidential interviews and a review of pertinent documents, the allegation that C1 sustained unexplained injury while in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, a copy of this report and LIC 811 were reviewed and provided to licensee Taiye Beoghene.

Investigation Findings:
13On August 13, 2025, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Daella Small Family Home (SFH) and met with licenssee Taiye Beoghene to deliver the finding for the above stated allegation. On March 6, 2025, Community Care Licensing received a complaint alleging that a minor sustained unexplained injury while in care. On March 14, 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), and biological child 1 (BC1). In regard to the allegation, it was specified that C1 had a cut (approximately 1 - 2 cm) on the cheek and a cut/mark on the neck (approximately an inch). During investigation, it was reported that staff did not see any cuts in C1. Confidential interviews stated that clients are always supervised so they will notice injuries if they occur. Other confidential interviews reported that C1 had a small marking around C1's eye but that was because C1 was accidentally hit by a ball while playing. Confidential interviews corroborate that C1 will have 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: DAELLA SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 08/13/2025

report_type: Complaint Investigation

met_with: Licensee- Taiye Beoghene

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On October 09, 2024, Licensing Program Analyst (LPA) Rafael Enriquez met with applicant Taiye Beoghene 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- Taiye Beoghene


summary: Facility Evaluation

raw_content:
Narrative:
On November 22, 2024 on 9: AM Licensing Program Analyst (LPA) Maryjane Perez arrived at Daella Small Family Home to conduct pre-licensing inspection for an initial license. LPA met with applicant Taiye Beoghene who led a tour of the entire home. The applicant is applying for a capacity of three children ages 0 to 17.The home is a two- story building with five bedrooms and 3 bathrooms. The downstairs consists of a locked hallway closet with first aid kit and hair products, a bathroom with water temperature measuring 114.4 degrees, two bedrooms for two ambulatory children that has one full size bed in each room -currently vacant, an office, living room with couch and TV and dining room with table and pantry, Kitchen with perishable and non-perishable foods, a work out space, storage closet, a hallway with fire extinguisher and a locked garage. The second floor consists of a master bedroom with bathroom for the applicant a large loft with furniture and television,a hallway closet stocked with linen and towels, a bedroom furnished with two full size beds to be utilized for two children and currently vacant, a bedroom furnished with one full-size and one twin bed for applicants children, a bathroom and a laundry room that stores cleaning supplies and detergents that must be locked at all times. 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. Appliances were in working order.A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. LPA observed there to be no landline telephone service, knives and sharp objects were not made inaccessible to children. The medication was found unlocked in bathroom cabinets. Cleaning supplies/chemicals were unlocked under kitchen sink and in bathrooms. The Facility Sketch, Emergency Disaster Plan and visitation policy were not posted at this time. The backyard was observed to be clean and free of hazards. There is no pool or other body of water. Based on this inspection of the home, the facility will need the following corrections: - Lock and store away all sharp objects such as: knives, scissors, forks and butter knives. - Lock and store away all cleaning supplies/ chemicals - Lock and store away all medications - Lock and store away all Liquor - Obtain a land line with a stationed home phone - Obtain a lock box for cash resources - Obtain client folders such as a 3-ring binder - Put a lock on laundry room door - Post facility sketch, emergency disaster plan, and visitation policy. After corrections are completed, the applicant will notify LPA so that another inspection can be completed. Exit interview conducted and a copy of this report was discussed and provided to applicant Taiye Beoghene

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On December 4, 2024 at 9: AM Licensing Program Analyst (LPA) Maryjane Perez arrived at Daella Small Family Home (SFH) and met with applicant Taiye Beoghene. The purpose of this visit was to ensure corrections were made from the pre-licensing inspection on November 22,2024. The applicant is applying for a capacity of three children ages 0 to 17. The home is a two- story building with five bedrooms and 3 bathrooms. Applicant Taiye Beoghene gave a tour of the home. The downstairs consists of a locked hallway closet with first aid kit, hair products, and LPA M. Perez also observed the scissors and medications to be locked and stored there as well. Downstairs also has a bathroom with water temperature measuring 114.4 degrees, two bedrooms for two ambulatory children that has one full size bed in each room -currently vacant a locked office where LPA observed there to be a locked cabinet for clients files/ binders and cash resources. There is a living room with couch and TV as well as a dining room with table and pantry, LPA observed the Kitchen to have perishable and non-perishable foods, the sharp objects such as knives, butter knives and forks were locked in a kitchen cabinet as well as liquor locked in another kitchen cabinet. Applicant obtained a home phone landline that is located in the kitchen. There was also chemicals and cleaning supplies locked and stored away under kitchen sink. There is a work out space, storage closet, a hallway with fire extinguisher and a locked garage. The second floor consists of a master bedroom with bathroom for the applicant, a large loft with furniture and television, hallway closet stocked with linen and towels, a bedroom furnished with two full size beds to be utilized for two children which is currently vacant, a bedroom furnished with one full-size and one twin bed for applicants children, a bathroom and applicant obtained a lock for laundry room door that stores cleaning supplies and detergents that is locked at all times. 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. Lpa M. Perez observed the facility sketch, emergency disaster plan and visitation policy to be posted near front door entry way. The backyard was observed to be clean and free of hazards. There is no pool or other body of water. Corrections made: Applicant locked and stored away all sharp objects such as: knives, scissors, forks and butter knives. Applicant locked and stored away all cleaning supplies/ chemicals Applicant locked and stored away all medications Applicant locked and stored away all Liquor Applicant obtained a land line with a stationed home phone Applicant obtain a locked place for cash resources Applicant obtained binders for client files Applicant put a lock on laundry room door Applicant posted facility sketch, emergency disaster plan, and visitation policy. Based on this inspection, the home is appropriate for a capacity of 3 ambulatory clients. All corrections were made. Applicant completed component III orientation during inspection on December 4, 2024 with LPA M. Perez. The request of license will be forwarded to Licensing Program Manager for final review and approval. Applicant was advised to contact the department within 30 days of their first placement An exit interview was conducted and a copy of this report was discussed and provided to applicant Taiye Beoghene.


summary: Facility Evaluation

raw_content:
Narrative:
On January 30, 2025, Licensing Program Analyst (LPA) Maryjane Perez began a post-licensing inspection for Daella Small Family Home. LPA met with licensee Taiye Beoghene who led a tour of the home. The facility was toured both inside and out. Currently there is 1 child in placement. The licensee was approved for a capacity of three children ages 0 to 17. The downstairs consists of a clean/ sanitary kitchen with an abundance of perishable and non-perishable foods, a dining room with table and pantry, an office, living room with couch and TV and a bulletin board with disaster plan, visitation policy, facility sketch, menu, and license posted. The bathroom is fully functioning with water temperature reaching 111.2 degrees. The downstairs also has two bedrooms that are currently vacant with full size beds and adequate drawer/closet space for children's belongings and a work out space, storage closet, a hallway with fire extinguisher and a locked garage. The upstairs consists of a master bedroom with bathroom for licensee a large loft with furniture and television. There is also a hallway closet stocked with linen and towels, a bedroom furnished with two twin size beds to be utilized for two children one which is occupied by the one client and the other vacant. Also upstairs is a bedroom furnished with one full-size and one twin bed for licensees biological children, a bathroom and a laundry room that stores cleaning supplies and detergents that is locked at all times. 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. The home has a telephone service. The backyard where children will have access to play is completely fenced and free of hazards. There is no pool or other body of water. The client and facility files were reviewed as well as two staff and one client were interviewed. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Appliances were in working order. Trash cans for storage of solid waste had tight fitting lids. Exit interview conducted and a copy of this report and 4 technical assistances were discussed and provided to licensee Taiye Beoghene.

met_with: Direct Care staff- Morenike Beoghene


summary: Facility Evaluation

raw_content:
Narrative:
On April 08, 2026, at 10: AM Licensing Program Analyst (LPA) Julian Lucas arrived at Daella Small Family Home to conduct an annual random inspection. LPA met with Administrator Taiye Beoghene. At 10:15 am, the LPA conducted a walk through of the facility. During the physical plant inspection, LPA observed a two-story house with a formal entry. The downstairs consisted of a locked hallway closet with first aid kit, a bathroom with water temperature measuring 116.5 degrees, two bedrooms for two children that have one full size bed in each room. One is currently vacant, and the other room is occupied by the staff. There is an office, living room with one half circular sofa, a TV and dining room with one formal table with four chairs and one pantry, a kitchen with perishable and non-perishable foods. LPA observed there to be a landline telephone with service, knives and sharp objects were locked and not accessible to children. There are postings of the facility sketch, Grievance Procedures, Visitation Policies, Youth Bill of Rights in English and Spanish, and posted on the wall. There is a locked mini gym, consisting of weights, treadmill and a stationary bike. There is a storage closet, and hallway with fire extinguisher and a locked garage. The second floor consists of a master bedroom with bathroom, a large loft with furniture and television, a hallway closet stocked with linen and towels, a bedroom furnished with two full-size beds to be utilized for two children and currently vacant, a bedroom furnished with one full-size bed and one twin bed for the administrator's bio children. 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. The bedrooms consisted of two twin beds for two clients, with one child per bed. There is a bathroom for the children and a laundry room that is locked, which consists of a washer, dryer, and cleaning supplies. The smoke detectors and carbon monoxide detectors, and fire extinguishers were checked, and they were working properly. Appliances were in working order. LPA reviewed one client file and three staff files. LPA conducted three staff interviews. Based on the annual random inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Taiye Beoghene. . Exit interview conducted. A copy of this report was provided to the Administrator, Taiye Beoghene.

met_with: Taiye Beoghene, Administrator


facility_name: DAMARIS W MUNYIRI

summary: Facility Evaluation

raw_content:
Narrative:
On October 14, Licensing Program Analyst (LPA) Maryjane Perez met with applicants Damaris Munyiri and James Davis this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicants Damaris Munyiri and James Davis.

met_with: Applicants- Damaris and James Munyiri


summary: Facility Evaluation

raw_content:
Narrative:
On December 4, Licensing Program Analyst (LPA) Maryjane Perez arrived at Damaris Munyiri Small Family Home (SFH) for a pre-licensing inspection for an initial license. LPA met with applicants Damaris Munyiri and James Davis who led a tour of the entire house. The applicants are applying to serve three non-ambulatory children ages 0 to 17 years old. Currently there are no clients placed in the home. The home is a two-story building with four bedrooms and three bathrooms. The downstairs consisted of an entry way with all required postings such as emergency disaster plan, facility sketch, personal rights and visitation policy. Bedroom #1 was utilized for one non-ambulatory client and had one queen size bed, closet/ dresser space, all required bedding and lighting- currently vacant. Bathroom #1 was fully functioning with a shower, toilet, and sink. However, the trash can was missing a lid but water temperature was measuring 115.8 degrees Fahrenheit. There was storage cabinets for linens and a storage closet storing a fire extinguisher that was fully operable. The living room had couches, TV, puzzles, and games for client use. The kitchen was clean and sanitary with locked cabinets for storing knives/ sharp objects, medications, first aid kit with all required elements and a lock box for clients cash resources. There was another locked kitchen sink cabinet that stored cleaning compounds. The refrigerator and pantry were fully stocked with perishable and non-perishable foods. The dining table had adequate seating. The upstairs had bedroom #2 that was utilized for applicant biological son and had one full size bed, lighting and closet space. Bathroom #2 was fully functioning with a sink, toilet , and shower/tub. However, the trash can was missing a lid. There was a loft with couches, TV, and storage cabinets for extra household items and a locked cabinet for laundry detergents and essentials. Bedroom # 3 was the master bedroom for applicants and had a king size bed, closet/dresser space, and bathroom #3 that was fully functioning but trash can was missing a lid. Bedroom #4 was utilized for two non-ambulatory clients but only had one crib in the room. Applicant understands they will need another bed for the other non-ambulatory client. There was dresser/ closet space, lighting, and an emergency ladder for emergency use. The laundry room was accessible to clients and had an office space attached to it. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. All hazardous items have been properly made inaccessible to areas where children will have access. All appliances were in working order. The backyard where children will have access to play was completely fenced, had a gate with a latch and was free of hazards. There were no pools or other bodies of water and no weapons/firearms as stated by applicant. The garage was locked at all times, had a deep freezer for extra frozen goods, had another refrigerator used for grocery overstock and also stored clients refrigerated medications if needed. Based on this inspection of the home, the facility will need the following corrections: Two beds in one of the bedrooms in order to sleep two clients Three bathroom trash cans to have lids After corrections are completed, the applicant will notify LPA so another inspection can be completed and the request for licensure can be forwarded to Licensing Program Manager for final approval. Component III orientation was also completed this day of December 4, 2025. An exit interview was conducted. A copy of this report was provided to applicants Damaris Munyiri and James Davis.

met_with: Applicants- Damaris Munyiri and James Davis


facility_name: DARDEN COMMUNITY CARE, INC, THE

summary: Facility Evaluation

raw_content:
Narrative:
On June 9, 2021 at 2:45PM, Licensing Program Analyst (LPA) Kourtney Williams arrived at the Darden Community Care, INC, The Small Family Home to conduct an annual inspection. LPA met with Licensee Sherry Ware who granted LPA access to the home. At 3: PM, LPA began a tour both inside and out with the Licensee. There were six children in the home at the time of this inspection. Three clients and three of the licensee children. The home was set up as follows: • Bedroom #1 downstairs has a mattress and it sleeps licensees 18-year-old daughter. • Bedroom #2 downstairs has two twin beds. It sleeps licensees 13 year- old child and 14- year -old child. • Bedroom #3: upstairs is the master bedroom sleeps licensee and spouse. Furnished with an queen-- sized bed. • Bedroom #4: upstairs has a queen- sized bed. It sleeps 14- year-old foster child #1 (FC1). • Bedroom #5: upstairs has a toddler bed and a twin bed. It sleeps 7 -year-old foster child #2 (FC2) and 5- year-old foster child #3 (FC3). 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 was 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 facility has no fire place. All hazardous items have been properly made inaccessible to areas where children will have access. The medications were locked and stored downstairs in the laundry room in a tool box. Cleansers/chemicals were locked and stored in the laundry room. Sharp knives were inaccessible and locked in the laundry room. . The first aid kit was located in the kitchen in the kitchen pantry. The facility has two guns that are locked in a closet in the master bedroom. The hot water temperature was tested and noted to be within regulation requirement. Proper storage of all food was noted. Bathroom #1 downstair has a tight fitting trash can lid. The Emergency Disaster Plan with exit map and Personal Rights were posted at this time. The backyard where children will have access to play was completely fenced and free of hazards. There was no pool or other body of water on the premises. Toys were safe, clean, and age appropriate for the age group of children being cared for. CPR and the First Aid cards expired in June 2020. Children and staff records are organized. Administrative records included: A review of one staff and three client's records on this date indicates that all facility. Staff have received criminal record and child abuse index check clearances and required documents. In accordance with Title 22, Division 6, Chapters 1 & 4, there were no deficiencies being cited at this time. LPA issued technical assistance to the facility. Based on this annual inspection, the home was operating within a capacity of three children. Exit interview conducted and a copy of this report and confidential names List (LIC 811) were given and explained to the licensee along with LIC Advisory Notes were provided to Sherry Ware.

met_with: Sherry Ware/ Darden


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2023 at 9: AM, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the Darden Community Care, INC, Small Family Home to conduct an annual inspection. LPA met with Licensee Sherry Darden who granted LPA access to the home. At 10: AM, LPA began a tour both inside and out with the Licensee. There were five children in the home at the time of this inspection. The five of six clients have been adopted by licensee. The home was set up as follows: • Bedroom #1 downstairs has a twin be and it sleeps licensee's 20-year-old adopted daughter. • Bedroom #2 downstairs has two twin beds. It sleeps licensee's two 16 year-old adopted children. • Bedroom #3: upstairs is the master bedroom sleeps licensee and spouse. Furnished with a queen--sized bed. • Bedroom #4: upstairs has two twin-sized beds. It sleeps 7 year-old and 9 year-old adopted daughters. • Bedroom #5: upstairs has a queen bed. It sleeps 16 year-old adopted son. 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 was 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 facility has no fire place. All hazardous items have been properly made inaccessible to areas where children will have access. The medications were locked and stored downstairs in the laundry room in a tool box. Cleansers/chemicals were locked and stored in the laundry room. Sharp knives were inaccessible and locked in the laundry room. The first aid kit was located in the kitchen in the kitchen pantry. The facility has no guns as stated by licensee. The hot water temperature was tested and noted to be within regulation requirement of 110 degrees. Proper storage of all food was noted. Bathroom #1 downstair has a tight fitting trash can lid. The Emergency Disaster Plan with exit map and Personal Rights were posted at this time. The backyard where children will have access to play was completely fenced and free of hazards. There was no pool or other body of water on the premises. There are no staff in the home at this time. Two adopted children were interviewed. In accordance with Title 22, Division 6, Chapters 1 & 4, there were no deficiencies being cited at this time. Based on this annual inspection, the home was operating within a capacity of five children. Exit interview conducted and a copy of this report was reviewed, provided to licensee and explained to the licensee.

met_with: Sherry Darden


facility_name: DBA ROSETTA CANYON KIDS CARE

summary: Facility Evaluation

raw_content:
Narrative:
On July 29, 2025, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Rhonda Culton this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant Rhonda Culton.

met_with: Applicant- Rhonda Culton


summary: Facility Evaluation

raw_content:
Narrative:
On August 22, Licensing Program Analyst (LPA) Maryjane Perez arrived at DBA Rosetta Canyon Kids Care Small Family Home (SFH) for a pre-licensing inspection for an initial license. LPA met with applicant Rhonda Culton who led a tour of the entire home inside and outside. The applicant is applying to serve four ambulatory children ages 0 to 17 years old. Currently there are no clients placed in the home. The home is a two-story building with five bedrooms and three bathrooms. The downstairs consisted of an entry way with a formal dining room with adequate seating, a living room with couches, TV, and a screened fireplace, the kitchen had a dining table, a locked cabinet under the kitchen sink storing cleaning supplies, a locked cabinet for knives/sharp objects, fire extinguisher #1 that was operable, a first aid kit with all required elements, and a refrigerator and pantry that was fully stocked. Bathroom #1 was fully functioning with water temperature measuring 120 degree's Fahrenheit. Applicant was advised not to adjust the water temperature any higher as it should be in the range of 105-120 degrees F. There was a hallway closet storing clothes and shoes, an office space that will store client files and personnel records in a locked cabinet, a bulletin board with all required postings such as emergency disaster plan, facility sketch, visitation policy, and personal rights. Bedroom #1 was also downstairs it was occupied by applicants biological child and was fully furnished with a full size bed. The upstairs had a loft area that was utilized as an office and had a desk, computer, emergency escape ladder, and fire extinguisher #2. Bedroom #2 was utilized for two foster children and had two twin size beds with dresser/ closet space, lighting, and all required bedding- currently vacant. Bathroom #2 had dual sinks, a shower/ bath tub, and a locked cabinet for storing medications/cleaning supplies. The laundry room was locked at all times as it stored laundry detergents/ laundry essential's. Bedroom #3 was occupied by applicants biological son and was fully furnished with a full size bed. Bedroom #4 was utilized for two foster children and had a twin sized bunk bed with railings on the upper tier. There was dresser/ closet space, a desk, TV, and all required bedding- currently vacant. The hallway leading to the master bedroom had cabinets storing extra blankets, linen, and towels. Bedroom #5 was the master bedroom that was locked at all times and had a Cal- King size bed, two closets, and bathroom #3 that was fully functioning. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. All hazardous items have been properly made inaccessible to areas where children will have access. The backyard where children will have access to play was completely fenced, had a gate with a latch and was free of hazards. There were no pools or other bodies of water and no weapons/firearms as stated by applicant. There was a land- line telephone service, all appliances were in working order, and all trash cans for storage of solid waste had tight fitting lids. The garage stored extra house hold items and was locked at all times. Based on this inspection, there are no corrections needed at this time therefore, the home is appropriate for a capacity of four ambulatory clients. The request for licensure will be forwarded to Licensing Program Manager for final approval. Component III orientation was also completed this day of August 22nd, 2025. An exit interview was conducted and a copy of this report was provided to applicant Rhonda Culton.


summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2026, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to DBA Rosetta Canyon Kids Care Small Family Home (SFH) for a post-licensing inspection. LPA met with licensee Rhonda Culton who led a tour of the entire home inside and outside. The home was licensed to serve four ambulatory children ages 0 to 17 years old. Currently there are two clients in the home. The home is a two-story building with five bedrooms and three bathrooms. The downstairs consisted of an entry way with a formal dining room with adequate seating, a living room with couches, TV, and a screened fireplace. The kitchen had a dining table, a locked cabinet under the kitchen sink storing cleaning supplies, a locked cabinet for knives/sharp objects, fire extinguisher #1 that was operable, a telephone service a first aid kit with all required elements, and a refrigerator and pantry that was fully stocked. Bathroom #1 was fully functioning with water temperature measuring 119.8 degree's Fahrenheit. There was a hallway closet storing clothes and shoes, an office space that stored client files, personnel records, and cash resources in a locked cabinet, a bulletin board with all required postings such as emergency disaster plan, facility sketch, facility license, and personal rights. Bedroom #1 was also downstairs and occupied by licensees biological child and was fully furnished with a full size bed. The upstairs had a loft area that was utilized as an office and had a desk, computer, emergency escape ladder, and fire extinguisher #2 that was operable. Bedroom #2 was utilized for two clients and had two twin size beds with dresser/ closet space, lighting, and all required bedding (one bed is currently occupied). Bathroom #2 had dual sinks, a shower/ bathtub, and a locked cabinet for storing cleaning supplies. The laundry room was locked at all times but had locked cabinets that stored laundry detergents/ laundry essential's. Bedroom #3 was occupied by one client and was utilized for two clients with a twin sized bunk bed with railings on the upper tier. There was dresser/ closet space, a desk, TV, and all required bedding. Bedroom #4 was occupied by licensees biological son and was fully furnished with a full size bed. The hallway leading to the master bedroom had cabinets storing extra blankets, linen, and towels. Bedroom #5 was the master bedroom for licensee and was locked at all times and had a Cal- King size bed, two closets, and bathroom #3 that was fully functioning and stored a locked medication box. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. All hazardous items have been properly made inaccessible to areas where children will have access. The backyard where children will have access to play was completely fenced, had a gate with a latch and was free of hazards. There were no pools or other bodies of water and no weapons/firearms as stated by licensee. There was a land- line telephone service, all appliances were in working order, and all trash cans for storage of solid waste had tight fitting lids. The garage stored extra house hold items and was locked at all times. LPA reviewed two client files and four personnel records as well as interviewed two clients and four staff members. An exit interview conducted and a copy of this report, and two technical violations were provided to licensee Rhonda Culton.

met_with: Licensee- Rhonda Culton


facility_name: DEBORAH FILPULA FAMILY HOME

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Licensee

complaint_status: SUBSTANTIATED


summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The above allegation is determined to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted, and a copy of the report and appeal process was emailed to the Licensee at d.filpula@sbcglobal.net.

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

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


raw_content:
Narrative:
that they were concern due to the amount of scratches and scabs C1 had. T1 stated that previously staff from the facility stated that C1 was tackled by C2. Additionally, LPA Diaz witness C2 slapping and hitting T3 on the face, and stomach during the interview. T3 stated that C2 is constantly hitting T3 or others. T3 also stated that C2 has self-behaviors and likes to pinch and scratch. Furthermore, LPA Diaz gathered documentation from the school C1 attends. School nurse documented that on 10/04/22 noted scratches on face and hands on C1. Nurse spoke to caretaker over the phone and stated C1 got in a scuffle with C2. On 10/13/22 nurse treated scratches and spoke to caretaker, and caretaker stated that C1 was tackled by C2. On 10/24/22 nurse treated C1 for new scratches on C1's left hand and left arm. LPA Diaz observed pictures of the scratches and noted C1 to have a significant amount of scratches all over hands and arms. LPA Diaz only received one Incident Report on 10/23/22. Lastly, S3 witnessed C2 pinching C1 on 10/23/22 at approximately 9:30pm. Even though the Clients have been separated as of 10/28/22, C1 was injured by C2 on multiple occasions while in care. Based on LPA's observations, interviews which were conducted and record review(s), the preponderance of evidence has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title Regulations, Division 6, Chapter Article 6 are being cited on the attached LIC9099D. An exit interview was conducted with Matthew Filpula, DSPII. A copy of this report and appeal rights was provided.

Investigation Findings:
13On January 18, 2022, at 12:10PM Licensing Program Analyst (LPA), Yuvi Diaz conducted a follow-up complaint investigation to the above facility and met with Matthew Filpula, DSPII The purpose of this inspection was to deliver findings for the above complaint allegations. Prior to delivering complaint findings LPA Diaz reviewed the client's file, conducted an inspection of the facility, and no deficiencies were cited at that time. LPA Diaz conducted 10 confidential interviews, obtained and reviewed the following documents: Incident Report, Individual Program Plan, Behavior Intervention Progress Report, Health Office Visits by Student, email pictures, and Face Sheet. During the interview process LPA Diaz found that five out of the six clients are non-verbal, but LPA Diaz was able to observe their behaviors during their school hours. When interviewing C1, C1's teacher stated Report continues on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Yuvicela Diaz 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 23-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, NATOMAS PARK DR., STE FACILITY NAME: DEBORAH FILPULA FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/18/2023

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Matthew Filpula, DSPII


raw_content:
Narrative:
Based on interviews conducted and documents reviewed by LPA Carmona the allegations above cannot be substantiated. 7 out of 11 confidential interviews corroborated the staff are following child's medication plan. During a visit to the facility LPA Carmona observed medication logs were documented properly for all clients in care. A confidential interview also confirmed observing proper medication documentation during an unannounced visit to the facility. 8 out of 11 confidential interviews corroborated staff did not ensure that child attended their medical appointment. Although 8 confidential interviews confirmed staff missed a medical appointment all statements corroborated that this was a one time occurrence. In addition, the parent of the client has medical rights and makes medical decisions for the client in care. Overall, there was miscommunication with the parties involved. Lastly, LPA Carmona was unable to interview and qualify 4 clients and one minor residing in the facility due to limited verbal communication. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview was conducted. A copy of this report and the Appeal Rights were provided to Deborah Filpula, Licensee .

Investigation Findings:
13On 12/27/ Licensing Program Analyst (LPA) Jacqueline Carmona conducted a complaint inspection to the above Small Family Home (SFH) and met with Deborah Filpula, Licensee for the purpose of delivering findings. During the investigation, LPA Carmona reviewed the agency's file at the licensing office, including the complaint history, criminal background check, and facility personnel report summary. Additional documents obtained: Clients PMAR Logs, JV223, Individual Program Plan (IPP), IEP, Staff Medication Training Log, Face Sheet, LIC9102, and September Communication Logs. LPA Carmona conducted 12 confidential interviews and attempted 5 confidential interviews from 10/05/23-12/15/23. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Jacqueline Carmona 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: DEBORAH FILPULA FAMILY HOMEFACILITY NUMBER: VISIT DATE: 12/27/2023

met_with: Deborah Filpula, Licensee


raw_content:
Narrative:
out of the 4 interviews conducted confirmed that a staff member yells at clients in care. During the investigation LPA Turner was informed that S1 yells if they need to in the form of loud bursts to gain client's attention. It was confirmed by S1 that they yell and on occasion foul language is used. Lastly, LPA Turner was notified by C1 and S1 that S1 uses foul language while yelling however it is not directed at client's in care. Based on LPA Turner's observation and based on interviews conducted and records reviewed. There is a preponderance of evidence to prove the alleged violation occurred, therefore the allegation is found to be SUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee. out of 4 interviews confirmed that C1 forced themselves to vomit and that the contents contained mostly saliva. 2 out of the 4 interviews confirmed that S1 did not use an inappropriate form of punishment for client in care and did not handle client in a rough manner. During the investigation LPA Turner was informed that S1 placed a hand on C1's shoulder to direct them out of the room so they did not vomit on them. Staff advised LPA Turner that C1 forces themselves to vomit when they are agitated. Lastly, LPA Turner was notified by staff that S1 did not use an inappropriate form of punishment such as rubbing a client's face in vomit and instead removed them from the room. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On October 29, 2024 at approximately 9: AM, Licensing Program Analyst (LPA) Zaria Turner made an unannounced visit to deliver findings to the above facility and met with Deborah Filpula, Facility Administrator. Prior to the meeting LPA Turner initiated the complaint investigation on October 11, 2024. No deficiencies were cited during that inspection. LPA Turner requested the following documents: SIRs, needs and services plan, and IBSP for one client in care. LPA Turner conducted 4 interviews between October 11, 2024 and October 15, 2024. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegation can be substantiated because there were consistent statements throughout the investigation process. Report continued on LIC 9099-C SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Zaria Turner 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: DEBORAH FILPULA FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/29/2024

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

met_with: Deborah Filpula, Facility Administrator


raw_content:
Narrative:
During the investigation LPA Turner was informed that the nonminor dependent initially refused medical assistance and declined self-cleaning. The facility administrator respected the nonminor dependent's autonomy while also making efforts to encourage proper hygiene. It was later determined by a physician that the nonminor dependent's condition is chronic and hereditary and not due to neglect or a lack of hygiene. Due to the involvement of a conservator, the facility administrator had to obtain approval before providing any medical care for the nonminor dependent. Once the approval was granted, the facility administrator followed procedures and ensured the nonminor dependent received medical attention and was properly diagnosed. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report and the Appeal Rights were discussed and provided to the licensee.

Investigation Findings:
13On July 7, 2025, at approximately 1: PM, Licensing Program Analyst (LPA) Sara Luman-Gonzalez made an unannounced visit to deliver findings to the above facility and met with Facility Administrator, Deborah Filpula. Prior to the meeting LPA Luman-Gonzalez initiated the complaint investigation on April 16, 2025. No deficiencies were cited during that inspection. LPA Turner requested the following documents: Needs and Services Plan, Client Record, Client's Medical documentation, Chore or Laundry schedule, Notes, Contact information for Alta Regional Representative and Schedule of appointments. LPA Turner conducted interviews between April 16, 2025, and July 1, 2025. Based on evidence obtained and confidential interviews conducted during the investigation process the above allegations cannot be substantiated because there were inconsistent statements throughout the investigation process. Report continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Rosa Rodriguez LICENSING EVALUATOR NAME: Sara Luman-Gonzalez 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 23-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO CRP RO, GOETHE ROAD, SUITE FACILITY NAME: DEBORAH FILPULA FAMILY HOMEFACILITY NUMBER: VISIT DATE: 07/07/2025

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


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, (LPA) Tana Kinder conducted an unannounced Annual Inspection on 9/13/2021 with the Licensee. LPA Kinder reviewed 4 staff files, and 4 client files. LPA Kinder noted the staff files contain documentation of Department of Justice clearance and staff meet the education and experience requirements. All files are kept in locked cabinets to ensure confidentiality. There is an office area near the family room. There are 4 bathrooms and smoke detectors located throughout the home. Two fire extinguishers in good working order. Enough perishable/non-perishable food for 4 clients for 8/15 days. There are clear walkways from the back to the front of the home. The home is 2-stories.


summary: Facility Evaluation

raw_content:
Narrative:
On September 21, 2022 at 11:30AM Licensing Program Analyst (LPA) Yuvi Diaz conducted an announced annual inspection. Deborah Fipula, Administrator assisted LPA Diaz with this inspection. The home is a two-story home. Consist of 6 bedrooms, 4 bedrooms, dining room, kitchen, living room, large room for staff, and outside yard, LPA finished one domain from caretools. LPA Diaz will come back at a later time to complete annual inspection. No deficiencies were noted at today's inspection. Exit interview was conducted with Debora Fipula, Administrator. A copy of this report will be emailed.

met_with: Deborah Fipula, Administrator


facility_name: DEMAVIE SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On April 15, 2025 at 9:45AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Applicants Oludare Samuel Sokoya and Ekua Amokwanoa Baiden Sokoya for a Component II of the application process. Lpa a. Caballero went over revisions needed for the application prior to license and are due no later than May 13 , 2025. Lpa a. Caballero provided applicant with a copy of the LIC 184, Notice of Incomplete Application and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant via email. The original signed copy of this report will be placed in the facility file

met_with: Applicants-Oludare Sokoya and Ekua Sokoya


summary: Facility Evaluation

raw_content:
Narrative:
On May 7, 2025, at 1:00PM, Licensing Program Analysts (LPAs) Adaleyci Caballero and Claudia Aguilera completed a pre-licensing inspection of DeMavie Small Family Home (SFH). LPA met with Applicants Oludare Sokoya and Ekua Sokoya who led a tour of the home. The facility was toured both inside and out with the applicants. There are no clients in placement. The home is a two-story building with five bedrooms and three full bathrooms which are set up as follows: Bedroom #1(first floor)- It consisted of two single beds. The beds had linen, comforters, and pillows. It will sleep two clients. Bedroom #2- It consisted of one queen bed. The bed had linen, comforters, and pillows. It will sleep applicants' bio son. Bedroom #3- It consisted of two single beds. The beds had linen, comforters, and pillows. It will sleep two clients. Bedroom #4- It consisted of one queen bed. The bedroom will be utilized for guests. Bedroom #5- (applicants) It consisted of one king bed and a crib for possible infant placement. It will sleep applicants. A living room, dining room, kitchen, family room, laundry room, office space, two car garage, and a backyard. The garage will be utilized to store perishable food and as a storage space accessible to clients 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 clients' belongings. There was a smoke detector in every bedroom. The nine smoke detectors were checked and working properly. The two Carbon Monoxide detectors were checked and working properly. The home's central air conditioning module was in the backyard. The water heater was in the garage. The appliances were in working order. There was adequate food storage space and a supply of perishable food and non-perishable food. The home had a trash can for storage of solid waste with a tight fitting lid. The hot water was at a temperature of 114.0 degrees Fahrenheit. There was one fire extinguisher present in the home located in the downstairs hallway. It was observed to be properly charged and inspected by the fire department. There are no firearms in the home. There is no pool at the home. The backyard is fully fenced and free of debris. The home has one Ring Camera on the outside premise of the home. No corrections to be made. Component III was conducted. An exit interview was conducted, and a copy of this report was provided to applicants Oludare Sokoya and Ekua Sokoya via email due to technical difficulties. Application will be forwarded to Licensing Program Manager Abdoulaye Traore for licensure.


summary: Facility Evaluation

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Narrative:
On April 30th, 2025, at 10:00AM Licensing Program Analyst (LPA) Claudia Aguilera arrived at Demavie Small Family Home (SFH) to conduct an unannounced post licensing inspection. The Facility was toured both inside and out with Licensee, Oludare Samuel Sokoya. The home is a two-story building with five bedrooms and three bathrooms. Upon entering the home, LPA observed a formal living room and dining room. The living room consisted of two couches, coffee table, and television. The dining room consisted of a large table with six chairs. The kitchen was fully inspected. The first aid kit was also observed to be in a kitchen cabinet and easily accessible to clients. The fire extinguisher was observed to be operable and located in the hallway. LPA also observed a trashcan in the kitchen that contained a tight-fitting cover. All sharps, chemicals, and medications are kept in the garage which remains locked and can only be accessed by entering a code for the door handle to open. Bedroom #1 is located downstairs, which consists of two twin beds, dressers, and armoire for additional storage. Bathroom #1 was also located downstairs; the bathroom was inspected and fully functioning. The laundry room was also located downstairs, and it remains locked when not in use. A family room was also observed to be downstairs which included a large sofa, television, and massage chair. The upstairs consisted of Bedroom #2 occupied by the licensee's adult brother which consisted of a queen size bed, licensee advised the bedroom always remains locked. ... Bedroom #3 is occupied by the Licensee which consisted of a king size and a crib, this bedroom also includes bathroom #2, it also remains locked and inaccessible to clients, per licensee. Bedroom #4 consisted of two twin beds, closet, and dresser space which sleeps two clients. Bedroom #5 is currently vacant with two twin beds, a closet and storage space for two future clients. Bathroom #3 was located upstairs it was inspected and fully functioning. The water temperature was tested and measured at 116.1 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. All windows and screens were in good repair. The smoke and carbon monoxide detectors were tested and operable. There were no guns or weapons in the home as stated by Licensee. The following required posted items were observed accessible: personal rights, visitation policy, and emergency numbers. The backyard was also fully inspected; no hazards or obstructions were observed. There are a total of six cameras, one located at the entry door and one in the backyard, and four in the common areas of the home which meet the Title 22 camera policy. Based on today's inspection and observations, there are no deficiencies being cited at this time. However, a TA was issued and explained to the licensee. An exit interview was conducted, and a copy of this report was provided to Licensee.

met_with: Licensee Oludare Samuel Sokoya


facility_name: DENKER HOPE COVENANT HOUSE

summary: Facility Evaluation

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Narrative:
On February 12, 2025 at 1:00 pm Licensing Program Analyst (LPA) Emelyn Sanchez P. and Licensing Program Manager (LPM) Lakescia Smith conducted the Component II - Face to Face Interview with Jenelle M. Thompson, Applicant. Application and program statement was reviewed and discussed with Mrs. Thompson. The applicant will oversee a small family home, Denker Hope Covenant House. The following documents were received and verified by LPA and LPM: 1. LPA and LPM verified the orientation certificate for Component I. 2. LPA and LPM made a copy of Licensee's ID for the records. 3. LPA and LPM verified criminal record clearance for applicant. LPA provided applicant with criminal background clearance transfer request to complete. 4. LPA and LPM reviewed application which needed corrections to the Applicant's title and was missing number of Non-Ambulatory/Bedridden placements. Applicant confirmed to only accepting ambulatory placements. 5. LPA and LPM reviewed the Program Design which was out of compliance with Small Family Home Regulations and General Licensing Requirements. Applicant will refer to application instructions to revise and adhere to Section B Documents: B7 - B9, B11- B12, and B16. LPA and LPM reviewed application and Program Design with applicant and requested revisions. Applicant will submit updated and revised application and Program Design by 03/12/2025. Licensee will also set up a land line. LPA and LPM discussed with applicant which placement agency applicant would be working with to receive clients from. LPA and LPM also discussed Licensing Duties and Responsibilities, specifically Small Family Home Regulations, section 83064. Report Cont. on LIC 809-C. LPA will follow up with pending fire inspection. Licensee will submit a copy of the First Aid Card. LPA scheduled a Pre-Licensing visit for Denker Hope Covenant House for 03/06/2025 at 1:00pm. Exit interview completed.

met_with: Jenelle M. Thompson


summary: Facility Evaluation

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Narrative:
On March 6, 2025 at 1:00pm Licensing Program Analyst (LPA) Emelyn Sanchez P. and Licensing Program Manager (LPM) Lakescia Smith arrived at the above facility, for the purpose of conducting a Pre- licensing inspection for a Small Family Home License. LPA/LPM met with applicant, Jenelle Thompson who granted access into the home. The applicant and LPA/LPM toured the facility both inside and out. Currently residing in the home is the applicant. Applicant is requesting to be licensed for 2 clients ages 6-17 ambulatory only. The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room: There is adequate furniture which is in good condition. The area is equipped with a sofa, two chairs and a television. Home entrance has a wooden door with mounted camera door bell. The side entrance door is protected by a screen door, followed by a wooden door. Windows operational with vertical blind and screens are operational. There is a floor heater in the living area that is turned off and not in use per Applicant. Smoke alarms/carbon monoxide detector located in every bedroom were tested during the inspection and they were all in working condition. Fire Extinguisher was fully charged and available near the entrance to the kitchen area. Kitchen: Is equipped with an operable 5 burner stove, refrigerator/freezer, small kitchen counter appliances. Below the sink is an unlocked cabinet where cleaning solutions are being stored. Dinning Room: Dinning area contains a two seated dining set with round table. Laundry Room: There is washer and dryer in working condition. There is also a working telephone in the laundry room. Report Cont. on LIC 809-C. Bedroom #1: is for the licensee and is equipped with a full size bed, drawer, TV and a closet. Bedroom #2: Will be designated for two children/placements and has two twin beds. LPA/LPM observed a closet space, a small drawer, operable tub, sink, and toilet. Bathroom: is clear of all cleaning solutions with a working toilet, sink, and shower. Outdoor activity space (back yard) free of obstructions. The garage is locked and being used for storage. The home will utilize a Honda HRV to transport clients in care. Current automobile insurance is with Triple AAA. Insurance and registration is current. The following items must be corrected: • Disinfectants/Cleaning Supplies need to be made inaccessible. • Applicant will place a lock on the cabinet located under the kitchen sink. • Applicant will also ensure to make sharps inaccessible. • Applicant will purchase a first aid kit with manual. • The emergency disaster plan must be posted. • Applicant will purchase perishable and non-perishable foods and post food menu. • Applicant will obtain trash cans with lids to place in the kitchen and bathroom. • Applicant will replace light bulbs in bathroom and laundry room. • Applicant will clear containers located in the kitchen/dinning room area and outdoor side patio area. • Applicant will remove all miscellaneous items located in living room, Bedroom #2, and ladder located in the laundry room. • There is concerns for Bedroom #2 due to the tub, sink and toilet as these are a safety concern for children who will be placed in the home. • Doorframe leading into the kitchen needs repairing due to the paint peeling. The following corrections just be made to ensure compliance with Licensing Regulations. LPA will conduct a follow up visit to ensure the corrections have been made. Applicant requested for an extension to submit Program Design revisions due on or by April 2, 2025. Exit Interview was conducted and a copy of this report was given to the applicant. LPA will follow up with applicant for Component III orientation.

met_with: Jenelle Thompson


summary: Facility Evaluation

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Narrative:
On April 18, 2025, at 1:00pm, Licensing Program Analyst (LPA), Emelyn Sanchez P. conducted a Small Family Home (SFH) Component III office meeting with Applicant, Jenelle Thompson. LPA Sanchez P. 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 Small Family Home (SFH), such as, reporting requirements, finances, basic services, accountability, personnel requirements, admission agreements, client medical assessment, client records, telephone usage, transportation, health services, food services, responsibility for providing care and supervision, building and grounds, licensing inspections, waivers and exceptions, civil penalties, reasonable and prudent parenting standards, needs and services plan, children's records, personal rights, discipline, and activities. Licensing of facility is pending final approval due to revisions needed for the application LIC forms and Program Design as well as the final inspection visit. A copy of this report was provided to the Applicant, Jenelle Thompson.


summary: Facility Evaluation

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Narrative:
On April 18, 2025 at 2:40pm Licensing Program Analyst (LPA) Emelyn Sanchez P. conducted a follow up Component II - Face to Face Interview with Jenelle Thompson, Applicant. The application and program statement were reviewed and discussed with Mrs. Thompson. The applicant will oversee a small family home, Denker Hope Covenant House. The following documents were reviewed: 1. LPA Sanchez P. informed applicant of missing LIC forms that needed to be completed and submitted for review (LIC 420, LIC 500, LIC 610or LIC 610A, and LIC 9054). 2. LPA Sanchez P. reviewed the revisions submitted by the Applicant on April 1, 2025 for the Program Design which were still out of compliance with Small Family Home Regulations and General Licensing Requirements. Applicant will refer to application instructions to revise and adhere to Section B Documents: B7 - B9, and B11. 3. LPA Sanchez P. reviewed application and Program Design Instructions with applicant and requested revisions. Applicant will submit updated and revised application and Program Design by May 19, 2025. Exit interview completed.


summary: Facility Evaluation

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Narrative:
On July 10, 2025 at 3:00pm Licensing Program Analyst (LPA) Emelyn Sanchez P. arrived at the above facility, for the purpose of conducting a Follow-up Pre- licensing inspection for a Small Family Home License. LPA met with applicant, Jenelle Thompson who granted access into the home. The applicant and LPA toured the facility both inside and out. Currently residing in the home is the applicant. Applicant is requesting to be licensed for 2 clients ages 6-17 ambulatory only. The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room: There is adequate furniture which is in good condition. The area is equipped with a sofa, two chairs and a television. Home entrance has a wooden door with mounted camera door bell. The side entrance door is protected by a screen door, followed by a wooden door. Windows operational with vertical blind and screens are operational. There is a floor heater in the living area that is turned off and not in use per Applicant. Smoke alarms/carbon monoxide detector located in every bedroom were tested during the inspection and they were all in working condition. Fire Extinguisher was fully charged and available near the entrance to the kitchen area. Kitchen: Is equipped with an operable 5 burner stove, refrigerator/freezer, small kitchen counter appliances. Below the sink is a locked cabinet where cleaning solutions are being stored. Dinning Room: Dinning area contains a two seated dining set with round table. Report Cont. on LIC 809-C. Laundry Room: There is washer and dryer in working condition. There is also a working telephone in the laundry room. Bedroom #1: Is for the licensee and is equipped with a full size bed, drawer, TV and a closet. Bedroom #2: Will be designated for two children/placements and has two twin beds. LPA Sanchez P. observed a closet space and a small drawer. LPA Sanchez P. also observed the operable tub, sink, and toilet in the bedroom to be secured and child proofed using child safety locks. Bathroom: Is clear of all cleaning solutions with a working toilet, sink, and shower. Outdoor activity space (back yard) free of obstructions. The garage is locked and being used for storage. The home will utilize a Honda HRV to transport clients in care. Current automobile insurance is with Triple AAA. Insurance and registration is current. The following items must be corrected: • Applicant will also ensure to make sharps inaccessible by purchasing a lock box. • The emergency disaster plan must be posted. • Applicant will post food menu onto the refrigerator. • Applicant will remove unhinged door located in the living room after repair of the side door. • Doorframe leading into the kitchen needs repairing due to the paint peeling. The following corrections just be made to ensure compliance with Licensing Regulations. LPA will conduct a follow up visit to ensure the corrections have been made. Exit Interview was conducted and a copy of this report was given to the applicant, Jenelle Thompson.


summary: Facility Evaluation

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Narrative:
On August 28, 2025 at 2:00pm Licensing Program Analyst (LPA) Emelyn Sanchez P. and Licensing Program Manager, Lakescia Smith conducted a follow up Component II - Face to Face Interview with the Applicant, Jenelle Thompson. The application and program statement were reviewed and discussed with Mrs. Thompson. The applicant will oversee a small family home, Denker Hope Covenant House. The following documents were reviewed: 1. LPA Sanchez P. reviewed the revisions submitted by the Applicant on May 14, 2025 for the Program Design which were still out of compliance with Small Family Home Regulations and General Licensing Requirements. Applicant will refer to application instructions to revise and adhere to Section B Documents: B7 - B9, and B11. 2. LPA Sanchez P. reviewed application and Program Design Instructions with applicant and requested revisions. LPA Sanchez P. will provide applicant with the regulations and supporting documents for reporting requirements, complaints, and needs and services plan via e-mail. Applicant will submit updated and revised Program Design by September 26, 2025. Exit interview completed.


summary: Facility Evaluation

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Narrative:
On January 21, 2026 at 9:30am Licensing Program Manager, Lakescia Smith and Licensing Program Analyst (LPA) Emelyn Sanchez P. conducted a follow up Component II - Face to Face Interview with the Applicant, Jenelle Thompson. The application and program statement were reviewed and discussed with Mrs. Thompson. The applicant will oversee a small family home, Denker Hope Covenant House. The following documents were reviewed: 1. LPM Smith reviewed the revisions submitted by the Applicant on September 26, 2025 for the Program Design which were still out of compliance with Small Family Home Regulations and General Licensing Requirements. Applicant will refer to application instructions to revise and adhere to Section B Documents: B7 - B9 as information was missing regarding program procedures. 2. LPM Smith reviewed application and Program Design Instructions with applicant and requested revisions. LPM Smith received a copy of the daily activity schedule. Applicant will submit updated and revised Program Design by February 4, 2026. Exit interview completed.


summary: Facility Evaluation

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Narrative:
On January 28, 2026 at 9:15am Licensing Program Analyst (LPA) Emelyn Sanchez P. arrived at the above facility, for the purpose of conducting a Follow-up Pre- licensing inspection for a Small Family Home License. LPA Sanchez P. met with applicant, Jenelle Thompson who granted access into the home. The applicant and LPA Sanchez P. toured the facility both inside and out. Currently residing in the home is the applicant. Applicant is requesting to be licensed for 2 clients ages 6-17 ambulatory only. The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room: There is adequate furniture which is in good condition. The area is equipped with a sofa, two chairs and a television. Home entrance has a wooden door with mounted camera door bell. The side entrance door is protected by a screen door, followed by a wooden door. Windows operational with vertical blinds and screens are operational. There is an operable wood burning fireplace covered with a screen as well as a floor heater in the living area that is turned off and not in use per Applicant. Smoke alarms/carbon monoxide detector located in every bedroom were tested during the inspection and they were all in working condition. Fire Extinguisher was fully charged and available near the entrance to the kitchen area. Kitchen: Is equipped with an operable 5 burner stove, refrigerator/freezer, small kitchen counter appliances. Below the sink is a locked cabinet where cleaning solutions are being stored. Dinning Room: Dinning area contains a three seated dining set with round table. Report Cont. on LIC 809-C. Laundry Room: There is washer and dryer in working condition. There is also a working telephone in the laundry room. Bedroom #1: Is for the licensee and is equipped with a full size bed, drawer, TV and a closet. Bedroom #2: Will be designated for two children/placements and has two twin beds. LPA Sanchez P. observed a closet space, two small drawers and table. LPA Sanchez P. also observed the operable tub, sink, and toilet in the bedroom to be secured and child proofed using child safety locks. Bathroom: Is clear of all cleaning solutions with a working toilet, sink, and shower. The home was inspected, and the following was observed: The home is clean, safe, sanitary, and in good repair. The home will operate within the capacity and limitations of the license once granted. Hot water is kept at a safe temperature. The beds have comfortable mattresses, clean linens, blankets, and pillows, all in good repair. Applicant maintains a safe and comfortable temperature in the home. First aid kit was checked and found to have appropriate supplies. Applicant has ensured to make sharps inaccessible by purchasing a lock box and keeping the lock box in her bedroom. The fire extinguisher is fully charged. No guns or weapons are in the home. There is a working telephone accessible for use at all times. Outdoor activity space (back yard) is free of obstructions. The garage is locked and being used for storage. The home will utilize a Honda HRV to transport children/placements in care. Current automobile insurance is with Triple AAA. Insurance and registration is current. LPA Sanchez P. observed 5 cameras in the home installed for security purposes. First camera is located inside the applicant's bedroom pointing the front door. Second camera is mounted outside by the side entrance. Third camera is located in the dinning room pointing to the backyard. Fourth camera is mounted to the back of the house pointing to the backyard and the fifth is mounted to the front of the garage pointing to the street. LPA Sanchez P. did not observe any indoor cameras to be located inside the bathroom or bedroom that will be used by children/placements. LPA Sanchez P. reminded the applicant that the food menu must be posted onto the refrigerator. Exit Interview was conducted and a copy of this report was given to the applicant, Jenelle Thompson.


summary: Facility Evaluation

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Narrative:
On May 13, 2026 at 8:45am Licensing Program Analyst (LPA) Emelyn Sanchez P. arrived at the above facility, for the purpose of conducting a Post Licensing inspection visit. LPA Sanchez P. met with Jenelle Thompson, Licensee who granted access into the home. The Licensee and LPA Sanchez P. toured the facility both inside and out. Licensee may provide care and supervision to two (2) developmentally disabled children ages 6-17 years old. Ambulatory only. There is no bodies of water on the premises. The census at the time of the inspection was zero (0). The home was inspected and the following was observed: This is a one-story house, with a backyard and a garage in the back. Living Room: There is adequate furniture which is in good condition. The area is equipped with a sofa, two chairs and a television. Home entrance has a wooden door with mounted camera door bell. The side entrance door is protected by a screen door, followed by a wooden door. There is a non-operable wood burning fireplace covered with a screen as well as a floor heater in the living area that is turned off and not in use per the Licensee. Smoke alarms/carbon monoxide detector located in every bedroom were tested during the inspection and they were all in working condition. Fire Extinguisher was fully charged and available near the entrance to the kitchen area. Kitchen: Is equipped with an operable 5 burner stove, refrigerator/freezer, small kitchen counter appliances. Below the sink is a locked cabinet where cleaning solutions are being stored. Report Cont. on LIC 809-C. Dinning Room: contains a four seated dining set with round table. Laundry Room: There is washer and dryer in working condition. There is also a working telephone in the laundry room. Bedroom #1: Is for the licensee and is equipped with a full size bed, drawer, TV and a closet. Bedroom #2: Will be designated for two children/placements and has two twin beds. LPA Sanchez P. observed a closet space, two small drawers and table. LPA Sanchez P. also observed the operable tub, sink, and toilet in the bedroom to be secured and child proofed using child safety locks. Bathroom: Is clear of all cleaning solutions with a working toilet, sink, and shower. The home was inspected, and the following was observed: The home is clean, safe, sanitary, and in good repair. The home is operating within the capacity and limitations of the license. Hot water is kept at a safe temperature. The beds have comfortable mattresses, clean linens, blankets, and pillows, all in good repair. Licensee maintains a safe and comfortable temperature in the home. First aid kit was checked and found to have appropriate supplies. Licensee has ensured to make sharps inaccessible by purchasing a lock box and keeping the lock box in her bedroom. The fire extinguisher is fully charged. No guns or weapons are in the home. There is a working telephone accessible for use at all times. Outdoor activity space (back yard) is free of obstructions. The garage is locked and being used for storage. The home will utilize a Honda HRV to transport children/placements in care. Current automobile insurance is with Triple AAA. Insurance and registration is current. LPA Sanchez P. observed 5 cameras in the home installed for security purposes. First camera is located inside the applicant's bedroom pointing the front door. Second camera is mounted outside by the side entrance. Third camera is located in the dinning room pointing to the backyard. Fourth camera is mounted to the back of the house pointing to the backyard and the fifth is mounted to the front of the garage pointing to the street. LPA Sanchez P. did not observe any indoor cameras to be located inside the bathroom or bedroom that will be used by children/placements. Report Cont. on LIC 809-C. There are currently no children in placement. However LPA Sanchez P. reminded the Licensee that children in care will be supervised and protected at all times. Children will be accorded dignity in personal relationships with staff and others. Children can contact the licensing agency or Foster Care Ombudsperson in confidence without threats or punishment for making complaints. Children will attend school, extracurricular, cultural, and personal enrichment activities. LPA Sanchez P. also reminded the Licensee to conduct disaster drills every six months when having children in care. Lastly, LPA Sanchez P. discussed clearances for individuals associated to the Small Family Home license with the Licensee. LPA Sanchez P. informed Licensee that there are no Administrators or Employees in a Small Family Home. Licensee informed LPA Sanchez P. that the individuals were scanned for emergency contact only. LPA Sanchez P. reminded Licensee to ensure all individuals obtain a Criminal Record Clearance as required prior to any presence in the home if assisting in caring for a child/children. Based on the observations made during today's inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Exit Interview was conducted and a copy of this report was given to the Licensee, Jenelle Thompson.