facility_name: TAS SMALL FAMILY HOME

raw_content:
Narrative:
During investigation, confidential interview stated LS niece was spanked privately by LS. The confidential interview added no foster child was in the home or witnessed niece being spanked. Another confidential interview did not witness a child being spanked in the home by LS. The confidential interview never observed anyone being spanked in the home. Additional confidential interview did not spank child in the home. Additional confidential interview stated child was not a foster child and child had returned to parent. Based on the confidential interviews, the allegation that LS and SP in the home physically abuse minor, may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. A copy of this report and LIC 811 was provided to the licensee at the SFH.

Investigation Findings:
13On April 18, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at TAS Small Family Home. LPA met with Licensee (LS) Toi to deliver the investigative finding for the above stated allegation involving the Small Family Home and foster children. On January 8, 2025, LPA Babatunde Aborchie arrived at the small family home to initiate investigation and conducted a safety inspection. LPA interviewed LS and spouse (SP). On February 14, 2025, LPA Babatunde Aborchie interviewed four foster children (FC1, FC2, FC3, FC4). On June 1, 2023, LPA was unable to interview County Social Worker (CSW). On December 31, 2025, a complaint report was referred to Community Care Licensing (CCL) alleging Adults in the home physically abuse minor. It was specifically that there was physical abuse happening in the home. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: TAS SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 04/18/2025


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On September 28, Licensing Program Analyst (LPA) Babatunde Aborchie, met with applicants Toi Smith this date for a Component II. LPA and LPM went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Notice of Incomplete Application, and additional correspondence to assist with the revisions needed to the application. Copy of this report was provided to applicant.

report_type: Facility Evaluation

met_with: Toi Smith


summary: Facility Evaluation

raw_content:
Narrative:
On October 13, 2023, at 12: PM Licensing Program Analyst (LPA) Babatunde Aborchie began a Pre-Licensing inspection for a Small Family Home license. LPA met with applicant Toi Smith who led a tour of the home. The facility was toured both inside and out with the applicant. The applicant is applying for a capacity of 3 ambulatory clients. The home consists of: Downstairs: Bedroom #1, It was not furnished. It will be used as a man-cave. There was also an office, a bathroom, a living room, dining area, a kitchen, a mud room, and a pantry Upstairs: Bedroom #2, The room was furnished with a queen-sized bed. It is used as a guest room - vacant. Bedroom #3, Master bedroom. The room consisted of one king-sized bed and a crib. It sleeps the applicant and spouse. It will also sleep an infant. Bedroom #4, The room was furnished with a full-sized bed. It sleeps applicant's daughter, aged 14 years. Bedroom #5, The room was furnished with a queen-sized bed. It sleeps applicant's son, aged 20 years. Bedroom #6, The room was furnished with two twin beds. It will sleep two clients. - Vacant. There was also a laundry room, a loft, a bathroom, and two linen closets. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked, were synchronized, and were working properly. Inside the facility there was no fireplace. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the master bedroom closet. Cleansers/chemicals were locked and stored in the mud room closet and the laundry room closet. Sharp knives were inaccessible and stored in the mud room locked closet. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 108 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items, and it was in the living room cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. Component III was conducted with the applicant Toi Smith. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee.

visit_type: Prelicensing


summary: Facility Evaluation

raw_content:
Narrative:
On July 18, 2024, at 10: AM Licensing Program Analyst (LPA) Karen Beal began an announced inspection for post licensing inspection and capacity increase. LPA met with licensee Toi Smith, who led a tour of the home. The facility was toured both inside and out with the licensee. Licensee is applying for a change of capacity from three ambulatory clients to six ambulatory, one child between ages 0-5 years five children ages 6-17 years. The facility files were reviewed prior to this visit. There were three clients currently placed in the home. The home is a single level home that consists of: Downstairs: Bedroom #1, The room is furnished with a queen bed, it sleeps the licensee son. There was also an office, a bathroom, a living room, dining area, a kitchen, a mud room, and a pantry. Upstairs: Bedroom #2, The room was furnished with two full sized beds. it will sleep two clients - vacant. Bedroom #3, Master bedroom. The room consisted of one king-sized bed and a crib. It sleeps the applicant and spouse. It will also sleep an infant. Bedroom # The room is furnished with full bed and sleeps the licensee daughter Bedroom #5, The room was furnished with two twin beds. It sleeps two clients Bedroom #6, The room was furnished with two twin beds. It will sleep two clients. There was also a laundry room, a loft, a bathroom, and two linen closets. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked, were working properly. Inside the facility there was no fireplace. Telephone service and appliances were in a working order. All hazardous items had been properly made inaccessible to areas where children will have access. The medication was locked in the master bedroom closet. Cleansers/chemicals were locked and stored in the mud room closet and the laundry room closet. Sharp knives were inaccessible and stored in the mud room locked closet. There were no guns or weapons as stated by the licensee at this time. The hot water temperature was tested and noted to be 108 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items, and it was in the living room cabinet. A Fire extinguisher was observed and properly charged. The License, Facility Sketch, Emergency Disaster Plan, Visitation Policy, and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request capacity increase for small family home will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Licensee.

met_with: Toi Smith, Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On October 27, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at TAS Small Family Home (SFH) required 2-year inspection. Currently, there are three clients in placement. The home was licensed for a capacity of six clients (all ambulatory). The Facility was toured both inside and out with the licensee. The home is a two-story building with six bedrooms and four bathrooms. During the inspection, LPA observed that downstairs consisted of the kitchen, a living room, a lounge, a dining area and one bedroom. Bedroom #1 was furnished with a queen sized bed, it sleeps one an adopted son, age 22. Sharp knives were inaccessible and stored in a locked cabinet in the mud room. The First Aid Kit was in the living room in a buffet and contained all required items. The garage was inspected and used for cars and storage. The water temperature was tested and measured at 112 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. There was a variety of snacks available for clients. In addition to the downstairs space, there was also one full bathroom fully functioning. A trash can was observed to have tight fitting cover. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. The clients' medication log records were kept updated with no discrepancy. Two fire extinguishers were observed and operable. Upstairs was bedroom #2, it was fully furnished with one full size bed, a full bath; it sleeps a client under legal guardianship, age 16. Bedroom #3, it was fully furnished with a king siz bed; master bedroom, it sleeps the licensee and the spouse. Medications will be stored in a locked box in the master bedroom. The licensee's bedroom is not accessible to the clients. Bedroom #4 was fully furnished with two twin-sized beds, a closet and plenty of storage space. It will sleep two clients; it was vacant. Bedroom #5, it was fully furnished with full sized bunked bed, it sleeps two clients, with a closet, storage space. Bedroom #6 was furnished with a full-sized bunk bed; it sleeps one client. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes additional storage, a loft, and an additional bathroom used by the clients. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. Licensee states that there were no guns/weapons in the home at this time. There was a total of five cameras, three located outdoors, and two indoors which met the title 22 camera policy. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Clients' files and staff files were reviewed and found to comply. Based on today's inspection and observations, there are no deficiencies being cited at this time. A copy of this report will be provided to the licensing program manager for final approval. An exit interview was conducted, and a copy of this report was discussed and provided to Licensee.

met_with: Licensee


facility_name: TASHIMA'S TOUCH & CARE

summary: Facility Evaluation

raw_content:
Narrative:
On March 4, Licensing Program Analyst (LPA) Linda Haynes met with Applicant Tashima Martin via Microsoft Teams to complete a component II interview. A signed copy of this report will be placed in facility file.

met_with: Tashima Martin


summary: Facility Evaluation

raw_content:
Narrative:
On April 23, 2024 at 10: AM, Licensing Program Analyst (LPA) Linda Haynes completed a pre-licensing inspection of Tashima Small Family Home. LPA met with Applicant Tashima Martin who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients in placement. The home is a two story building with five bedrooms and three bathrooms which are set up as follows: · Bedroom #1 (Applicants) has one bed will sleep the applicant. · Bedroom #2 (sons) has one bed and sleeps the son. · Bedroom #3 (daughter) has one bed, it sleeps the daughter. · Bedroom #4 (daughters) has one bed, it sleeps the daughter. · Bedroom #5 (Client's) has 2 beds, it will sleep two clients. · A great room/living room, kitchen, dining area, three bathrooms, laundry room, two car garage, play room, and the backyard. The Client's bedrooms were arranged so that no more than two client's will be in a room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector/carbon monoxide in every bedroom. The five smoke detectors/carbon monoxide detectors were checked, and they were working properly. The home's central air conditioning module was located on the side of the house. The home's hot water heater was located in the garage. The appliances were in working order. The client's files will be locked inside a locked cabinet in the laundry room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable foods. A trash can for storage of solid waste had a tight-fitting lid and was present. The sharp knives will be in a locked cabinet in the laundry room. The medications will be located in a locked cabinet in the laundry room. The hot water in bathroom one measured to be 119.1 degrees Fahrenheit, bathroom two was 109.4 degrees Fahrenheit, and in bathroom three 106.3 degrees Fahrenheit. The home's First Aid kit was accessible and is located in a cabinet in the hallway and contained all required supplies. There was two fire extinguishers present in the home one is located in the kitchen by the kitchen cabinets and one is located upstairs in the hallway. They were observed to be properly charged and inspected by the fire department. There are no fire arms in the home as stated by the applicant. There is no pool or other body of water at the home. The backyard where clients will have access to play is fenced. There are no corrections that need to be made at this time A component III was conducted. An exit interview was conducted. Application will be forwarded to the Licensing Program Manager for Licensing.


facility_name: TAWANIA'S SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On February 24, 2022, at 11:16am, Licensing Program Analyst (LPA) Adrian Mendez, conducted an unannounced Required Annual inspection of the facility. LPA was met at the facility by Licensee Tawania Alvarez. The home is a one story two bedroom condominium/apartment. The home is equipped with two full baths and an exterior laundry facility. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for the children's belongings. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in a locked cabinet in the kitchen. Cleansers/chemicals are locked and stored in the locked cabinet beneath the kitchen sink. Sharp knives are inaccessible and stored in a locked cabinet beneath the kitchen sink. The first aid kit is located in the locked medication cabinet in the kitchen. There are no guns or weapons as stated by the Licensee. The hot water temperature was tested and noted to be within regulatory requirements. Proper storage of all food was noted. Trash cans for storage of solid waste have tight fitting lids. All required forms are posted including the Grievance Procedures, Visitation Policies, Personal Rights, and the Emergency Disaster Plan was also posted. A review of staff files indicates that staff files contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPA reviewed two client files, and all files did have the necessary documents required per regulations. Cont. on 809-C LPA also observed a minimum 7-day non-perishable and a 2-day perishable supply of food. The exterior of facility was also inspected and observed to be clean well maintained. Emergency exits were free from obstruction. One facility staff was interviewed during the inspection. No clients were present at the time of the inspection. Based on the facility inspection and file reviews, there are no deficiencies found at this time. A copy of this report, along with a Confidential Names List (LIC 811 dated 02/24/2022) were explained and provided to Licensee Tawania Alvarez.

visit_type: Annual

met_with: Tawania Alvarez


summary: Facility Evaluation

raw_content:
Narrative:
On February 21, 2023, at 10:12am, Licensing Program Analyst (LPA) Adrian Mendez, conducted an unannounced Required Annual inspection of the facility. LPA met with Licensee Tawania Alvarez. The home is a one story two bedroom condominium/apartment. The home is equipped with two full baths and an exterior laundry facility. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for the children's belongings. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in a locked cabinet in the kitchen. Cleansers/chemicals are locked and stored in the locked cabinet beneath the kitchen sink. Sharp knives are inaccessible and stored in a locked cabinet beneath the kitchen sink. The first aid kit is located in the locked medication cabinet in the kitchen. There are no guns or weapons as stated by the Licensee. The hot water temperature in the kitchen sink was tested and was measured at 119.4 degrees which is within regulatory requirements. Proper storage of all food was noted. Trash cans for storage of solid waste have tight fitting lids. All required forms are posted including the Facility License, Grievance Procedures, Visitation Policies, Personal Rights, and the Emergency Disaster Plan was also posted. A review of staff files indicates that staff files contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. LPA reviewed two client files, and all files did have the necessary documents required per regulations. Cont. 809-C LPA also observed a minimum 7-day non-perishable and a 2-day perishable supply of food. The exterior of facility was also inspected and observed to be clean well maintained. Emergency exits were free from obstruction. One facility staff was interviewed during the inspection. No clients were present at the time of the inspection. Based on the facility inspection and file reviews, there are no deficiencies found at this time. A copy of this report was explained to Licensee Tawania Alvarez. Due to printer malfunction this report will be emailed to Licensee Tawania Alvarez.


summary: Facility Evaluation

raw_content:
Narrative:
On March 7, 2023 at 2:42pm, Licensing Program Analyst (LPA) Adrian Mendez arrived unannounced to the facility to conduct an Annual Continuation inspection of the Required Annual inspection that began on 02/21/2023. LPA met with Licensee Tawania Alvarez. During the inspection, interviews were conducted with one child and one facility representative. Based on the facility inspection, there are no deficiencies found at this time. An exit interview was conducted, and a copy of this report was explained to Licensee Tawania Alvarez. Due to printer malfunction, this report will be emailed to Licensee Tawania Alvarez

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On April 25,2024, at 11:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz, conducted an unannounced Required Annual inspection of the facility. LPA met with Licensee Tawania Alvarez. The home is a one story two bedroom condominium/apartment. The home is equipped with two full baths and an exterior laundry facility. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in a locked cabinet in the kitchen. Cleansers/chemicals are locked and stored in the locked cabinet beneath the kitchen sink. Sharp knives are inaccessible and stored in a locked cabinet beneath the kitchen sink. The first aid kit is located in the locked medication cabinet in the kitchen. There are no guns or weapons as stated by the Licensee. The hot water temperature in the kitchen sink was tested and was measured at 119.4 degrees which is within regulatory requirements. Proper storage of all food was noted. Trash cans for storage of solid waste have tight fitting lids. All required forms are posted including the Facility License, Grievance Procedures, Visitation Policies, Personal Rights, and the Emergency Disaster Plan was also posted. LPA also observed a minimum 7-day non-perishable and a 2-day perishable supply of food. The exterior of facility was also inspected and observed to be clean well maintained. Emergency exits were free from obstruction. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for the children's belongings. Cont. 809-C LPA reviewed two client files, and all files did have the necessary documents required per regulations. A review of staff files indicates that staff files contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. One facility staff was interviewed during the inspection. No clients were present at the time of the inspection. Based on the facility inspection and file reviews, there are no deficiencies found at this time. A copy of this report was explained and provided to Licensee Tawania Alvarez.


summary: Facility Evaluation

raw_content:
Narrative:
On February 26,2025 at 10:00 am, Licensing Program Analyst (LPA) Guadalupe Munoz, conducted an unannounced Required Annual inspection of the facility. LPA met with Licensee Tawania Alvarez. LPA toured the home with Licensee and no deficiencies were observed. The home is a one story two bedroom condominium/apartment. The home is equipped with two full baths and an exterior laundry facility. The medications are locked and stored in a locked cabinet in the kitchen. Cleansers/chemicals are locked and stored in the locked cabinet beneath the kitchen sink. Sharp knives are inaccessible and stored in a locked cabinet beneath the kitchen sink. The first aid kit is located in the cabinet in the kitchen. Trash cans for storage of solid waste have tight fitting lids. There are no guns or weapons as stated by the Licensee. LPA also observed a minimum 7-day non-perishable and a 2-day perishable supply of food.. Proper storage of all food was noted. All required forms are posted including the Facility License, Grievance Procedures, Visitation Policies, Personal Rights, and the Emergency Disaster Plan was also posted The exterior of facility was also inspected and observed to be clean well maintained. Emergency exits were free from obstruction. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for the children's belongings. LPA reviewed two client files and both files had necessary documents required per regulations. ****** A review of staff files indicates that staff files contained all required documentation per Title Regulations. All appropriate personnel who require caregiver background checks have received criminal record and child abuse index check clearances or exemptions. One facility staff was interviewed during the inspection. No clients were present at the time of the inspection. Based on the facility inspection and file reviews, there are no deficiencies found at this time. An exit interview was conducted and A copy of this report was explained and provided to Licensee Tawania Alvarez.


facility_name: TAYLOR SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Investigation Findings:
13On October 3, 2024, Licensing Program Analyst (LPA) C. White arrived at Taylor Small Family Home (SFH) for the purpose of delivering findings for the above allegation. LPA met with Licensee, Farisha Taylor. During the course of this investigation, LPA conducted confidential interviews and reviewed records. Licensee denied the allegation and stated the Child was no longer placed in the home. Licensee stated the child Awoled on 03/19/2024, per an emergency CFT meeting held 03/20/2024, the child's placement ended 03/21/2024, and that an Emergency Social Worker attempted to pick the child up on 03/22/2024, however child was still Awol. LPA was unable to obtain a statement from Child #1. Moreover, documentary evidence did not corroborate the allegation. Based on information obtained, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur. There were no deficiencies cited. An exit interview was completed, and a copy of this report was left at the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Bernice Karnsrithong LICENSING EVALUATOR NAME: Charmetha White LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of 1

report_type: Complaint Investigation

met_with: Licensee - Farisha Taylor

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On September 13, 2022 at 9 am Licensing Program Analyst (LPA) Donald Martin and Licensing Program Manager (LPM) JoAunne Griffin arrived at the above facility for the purpose of conducting a Component II and Component III inspection. LPA and LPM were met by Farisha Taylor, Administrator and Adult 1 allowed access into the facility. LPA and LPM toured home and discussed the licensing process with Farisha Taylor and Evan Brown. The facility layout is as follows: This is a single family home located in a residential area. Home consist of living room, kitchen, laundry area, three bedrooms, two bathrooms and detached garage. Bedroom 1: Consists of two twin size beds, television and storage space for clothes and personal belongings. Bedroom is currently not be occupied and room is designated for clients. Bedroom 2: Consist of queen size bed, dresser, television and closet. Closet contains a firearm located in the a combination/key safe. The ammunition is stored separately in Bedroom 3 closet. Bedroom 2 is occupied by Farisha Taylor and Adult 1. Bedroom will be inaccessible to children in care. Bedroom 3: Consist of queen size bed, dresser, couch, and television. The second bathroom is located in this room. This room is occupied by Adult 2. Cleaning supplies and medication is tripled locked in bedroom closet and inaccessible to children in care. Cont 809-C Living room: Consists of a sectional sofa, a large wall mounted TV and a electric fire place unit. Kitchen: Consists of stove, refrigerator and a dish washer. There are five cabinets that are locked and can be opened with a magnet. The knives are locked in a drawer in the kitchen and the cleaning supplies are in a locked cabinet under the sink inaccessible to children in care. Laundry area: Located next to kitchen and consist of large washer and dryer. Cleaning tools are also located in this area. Garage: Is detached from home. Garage area remains locked and is only accessible to the owner and inaccessible to residents. The front and back yard is free of debris and hazards. The water shut off valve is located in the front of the home. The home has no bodies of water on the premises. Charcoal grill is covered and stored in rear of home. Water hose is stored in container. There is a storage closet and drawers in the hallway which contains additional linen. Four dual carbon monoxide and smoke detectors are located in the home. Fire extinguisher is located in the laundry area and is fully charged. Applicant will transport children in Buick Regal. Personal rights, grievance process, Disaster Plan, Discipline policies and procedures will be placed in hallway. At this time all adults in the home do not have a Criminal Clearance on file with Community Care Licensing Division. Prior to licensure the following is still required: 1. Criminal Background Clearance for Adult 1 and Adult 2. 2. Approved Fire Clearance A copy of this report will be provided to applicant.

met_with: Farisha Taylor-Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On February 6, 2023, at 1:30pm Licensing Program Analyst (LPA) Donald Martin arrived at the above facility for the purpose of conducting a Case Management-Licensee Initiated Inspection. LPA was met by Farisha Taylor, Administrator and allowed access into the facility. LPA and Farisha Taylor toured home. The facility layout is as follows: This is a single-family home located in a residential area. Home consists of living room, kitchen, laundry area, three bedrooms, two bathrooms and detached garage. Bedroom 1: Consists of two twin size beds, television and storage space for clothes and personal belongings. Bedroom is currently not be occupied and room is designated for clients. Bedroom 2: Consist of queen size bed, dresser, television, and closet. Closet contains a firearm located in a combination/key safe. The ammunition is stored separately in Bedroom 3 closet. Bedroom 2 is occupied by Farisha Taylor and Adult 1. Bedroom will be inaccessible to children in care. Bedroom 3: Consist of queen size bed, dresser, couch, and television. The second bathroom is in this room. This room is unoccupied. Cleaning supplies and medication is tripled locked in bedroom closet and inaccessible to children in care. Continued 809-C Living room: Consists of a sectional sofa, a large wall mounted TV and an electric fireplace unit. Kitchen: Consists of a stove, refrigerator, and a dish washer. There are five cabinets that are locked and can be opened with a magnet. The knives are locked in a drawer in the kitchen and the cleaning supplies are in a locked cabinet under the sink inaccessible to children in care. Laundry area: Located next to kitchen and consist of large washer and dryer. Cleaning tools are also located in this area. Garage: Is detached from home. Garage is used as storage area. The front and back yard is free of debris and hazards. The water shut off valve is in the front of the home. The home has no bodies of water on the premises. Charcoal grill is covered and stored in rear of home. Water hose is stored in container. There is a storage closet and drawers in the hallway which contains additional linen. Four dual carbon monoxide and smoke detectors are located throughout the home. Fire extinguisher is in the laundry area and is fully charged. Applicant will transport children in Buick Regal. Personal rights, grievance process, Disaster Plan, Discipline policies and procedures will be placed in hallway. At this time Leona Stanton is not to reside in home until fingerprint clearance has been received. A copy of this report was left with Farisha Taylor.


summary: Facility Evaluation

raw_content:
Narrative:
On April 24, 2023 at 9: AM, Licensing Program Analyst (LPA) C. White arrived at Taylor Small Family Home for the purpose of conducting a Post Licensing Inspection. LPA met with Licensee's, Farisha Taylor and Evan Brown who granted access to the home and together a tour of the interior and exterior home was conducted. The facility is licensed to provide care and supervision services for two (2) children, ages 3-17 years old, ambulatory only. The census today is zero (0) and living in the home currently are the Licensee and Adult 1. The facility is set up as follows: This is a single-story 3 bedroom, 2 bathroom, home located in a residential area. The home consists of a living room, dining room, kitchen, laundry area, a backyard, and a detached garage. Living room: is equipped with a sectional sofa, a mounted flat screen television, and an electric fire place. Dining room: is equipped with a table four (4) chairs, and a bench. Kitchen: is equipped with a refrigerator/freezer, a five (5) burner gas stove/oven (all burners were operational at the time of this inspection), dish washer, and a microwave. Sharp knives are kept in a magnetically locked kitchen drawer. Cleaning supplies are kept under the kitchen sink in a magnetically locked cabinet and made inaccessible to children in care. The kitchen also has an exit door that leads to the side of the home. Laundry area: is located off the kitchen and is equipped with a washer and a dryer; there is a stand-alone pantry located in this area; and a fully charged fire extinguisher, and cleaning tools are stored in this area. Backyard: contains a covered charcoal grill and a small water hose storage container. Detached garage: LPA observed the garage to be used for storage; it remains locked at all times and is made inaccessible to children in care. Bedroom #1: is designated for clients. The room is equipped with two twin size beds, a stand-alone storage unit for clothes, cube storage bins, a television, a working light, and two windows. This room was vacant at the time of the inspection. Report continued on LIC 809C. Bedroom #2: is vacant. This room was not equipped with any furniture at the time of this inspection. The room contains a working light, windows, and a closet which LPA observed to store clothing items. The closet also contains a firearm located in a combination/key safe. Bedroom #3: is occupied by Licensee and Adult 1. The room is equipped a queen size bed, dresser, television, a working light, windows, and a closet. The closet contains personal belongings, firearm ammunition stored in a combination safe, additional cleaning supplies, and a medication lock box. The closet remains locked at all times and made inaccessible to children in care. (2) Bathrooms: one bathroom is located along the hallway, and the second bathroom is located inside bedroom #3. The bathrooms contain a toilet, sink, and a combination shower/tub. The hot water was tested and found to be with 105-120 (F) LPA observed one (1) fully charged fire extinguisher. The hallway has cabinets which store extra linen. The smoke and carbon monoxide detectors were tested and found to be in working order. Medications are stored in a locked box inside the closet in bedroom #3 and made inaccessible to children in care. Disinfectants and cleaning solutions are kept locked inside the closet in bedroom #3 and in a locked cabinet under the kitchen sink. The home has a working telephone readily accessible to children in care. The First Aid Kit was checked and found to be complete. LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, inclines, ramps and open porches are unobstructed. The front and backyard were clean and free of debris. There are no bodies of water located on the premises. The water shut off valve is located in the front of the home. LPA reminded Licensee to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Licensee acknowledges abuse reporting requirements. During the visit, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements for Small Family Home Licensure and Emergency Plan were met. The home currently has no staff or clients placed in the home. An exit Interview was conducted, and a copy of this report was left with the Licensee, Farisha Taylor

met_with: Licensee's - Farisha Taylor and Evan Brown


summary: Facility Evaluation

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Narrative:
On February 15, 2024, at 8: AM, Licensing Program Analyst (LPA) C. White and Licensing Program Manager (LPM) B. Karnsrithong arrived at Taylor Small Family Home for the purpose of conducting an Annual Licensing Inspection. LPA met with Licensee's, Farisha Taylor and Evan Brown who granted access to the home and a tour of the home was conducted. The facility is licensed to provide care and supervision services for two (2) children, ages 3-17 years old, ambulatory only. The census today is one (1) and living in the home currently are the Licensee, Adult 1, and 1 biological child age 5 months. The facility is set up as follows: The facility is a single-story 3-bedroom, 2-bathroom, home which consists of a living room, dining room, kitchen, laundry area, a backyard, and a detached garage. Living room: is furnished with two large sofas, a glass coffee table, a mounted flat screen television, an electric fireplace, and a portable air conditioner unit. Dining room: is furnished with glass table with four (4) chairs, and a bench. Kitchen: has a five (5) burner gas stove/oven (all burners were operational during the inspection), refrigerator/freezer, and a dish washer. Sharp knives are located next to the stove in a magnetically locked kitchen drawer. Cleaning supplies and disinfectants are kept under the kitchen sink in a magnetically locked cabinet and made inaccessible to children in care. The kitchen has an exit door leading to the right side of the home and backyard. Laundry area: is located next to the kitchen and is equipped with a washer and a dryer. The area has a stand-alone pantry, cleaning tools, and a fully charged fire extinguisher. Backyard: contains a covered charcoal grill and a small water hose storage container. Detached garage: remains locked at all times and LPA observed the garage to be used for storage. Bedroom #1: is occupied by client #1. The room is equipped with two twin size beds, a storage unit for clothes, a television, a working light, and two windows. Bedroom #2: is occupied by biological child. The room is furnished with a baby crib, any furniture at the time of this inspection. The room contains a working light, windows, and a closet which LPA observed to store clothing items. The closet also contains a firearm located in a combination/key safe. Report continued on LIC 809C Bedroom #3: is occupied by Licensee and Adult 1. The room is furnished with a queen size bed, dresser, television, a working light, windows, and a closet. The closet contains personal belongings, a medication lock box, firearm ammunition stored in a combination safe, and additional cleaning supplies. (2) Bathrooms: one bathroom is located along the hallway, and the second bathroom is located inside bedroom #3. The bathrooms contain a toilet, sink, and a combination shower/tub. The hot water was tested and found to be with 105-120 (F). The hallway has cabinets which store extra linen. The smoke and carbon monoxide detectors were tested and found to be in working order. Medications are stored in a locked box inside the closet in bedroom #3 and made inaccessible to children in care. Disinfectants and cleaning solutions are kept locked under the kitchen sink. The home has a working telephone readily accessible to children in care. The First Aid Kit was checked and found to be complete. LPA observed the home to be clean, safe, and sanitary. Passageways, stairways, inclines, ramps and open porches are unobstructed. The front and backyard were clean and free of debris. There are no bodies of water located on the premises. Licensees ensure that children in placement are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. All posting requirements for Small Family Home Licensure and Emergency Plan were met. LPA reviewed the following records during the inspection: Client Records: The home currently has a total of one (1) client. LPA reviewed the client's records and found the record to meet required regulations. LPA obtained the LIC 9240. Staff Records: The home currently has a total of one (1) staff and the Administrator. LPA reviewed a total of two (2) staff records and confirmed files contained staff qualifications, current CPR/First Aid cards, health screening, and TB test results. LPA obtained the LIC 500. All personnel have required criminal record clearance: DOJ, FBI and Child Abuse, which meet qualification. LPA conducted interviews with one (1) client, one (1) staff, and the Administrator. An exit Interview was conducted, and a copy of this report was left with the Licensee, Farisha Taylor.


summary: Facility Evaluation

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Narrative:
On February 28, 2025, at 9: AM, Licensing Program Analysts, LPA, Kim Dear and LPA Dennis Jarmin arrived at the Taylor Small Family Home to conduct an Annual Licensing Inspection. LPAs met with Licensees Farisha Taylor and Evan Brown, who granted access to the home for the inspection. A health and safety inspection were conducted upon entrance into the facility. The home is licensed to provide care and supervision for two ambulatory children, ages 3-17 years old. At the time of the inspection, there were currently no children in placement. Also residing in the home were the Licensees, one adult, and a seventeen-month-old, biological child. Facility Overview The home is a single-story, three bedroom, two bathroom residence that includes a living room, dining room, kitchen, laundry area, backyard, and detached garage. · Living Room: Furnished with two large sofas, a glass coffee table, a mounted flat-screen TV, an electric fireplace, large bean bag and a portable air conditioning unit. · Dining Room: Contains a glass table with four chairs and a three seater bench. · Kitchen: Equipped with a five burner gas stove/oven, refrigerator/freezer, and dishwasher. All burners were operational at the time of the inspection. Sharp knives are stored in a magnetically locked drawer, and cleaning supplies are kept in a secured cabinet under the sink, inaccessible to children. The kitchen has an exit leading to the right side of the home and the backyard. Laundry Area: Located next to the kitchen, it contains a washer, dryer, stand-alone pantry, cleaning tools, and a fully charged fire extinguisher. · Backyard: Features a covered charcoal grill and a small water hose storage container. · Detached Garage: Remains always locked and is used for storage. Bedrooms and Sleeping Arrangements · Bedroom #1: Occupied by Client #1, furnished with two twin-size beds, a storage unit for clothing, a television, a working light, and two windows. · Bedroom #2: Occupied by the biological child, furnished with a crib, working light, windows, and a closet. A firearm is securely stored in a combination/key safe inside the closet. · Bedroom #3: Occupied by the Licensee and Adult 1, furnished with a queen-size bed, dresser, television, working light, windows, and a closet. The closet contains personal belongings, a medication lock box, firearm ammunition stored in a combination safe, and additional cleaning supplies. Bathrooms The home has two bathrooms-one in the hallway and another inside Bedroom #3. Both contain a toilet, sink, and a combination shower/tub. The hot water was tested and measured between 105-120°F, within the required range. Health & Safety Compliance The hallway has cabinets used for storing extra linens. Smoke and carbon monoxide detectors were tested and found operational. Medications are stored in a locked box in the closet of Bedroom #3, ensuring they are inaccessible to children. Disinfectants and cleaning solutions are secured under the kitchen sink. A working telephone is available for children in care. The First Aid Kit was checked and found complete. LPAs observed the home to be clean, safe, and sanitary, with unobstructed passageways, stairways, inclines, ramps, and porches. The front and backyard were clean and free of debris. No bodies of water were present on the premises. Children's Rights & Facility Compliance Licensees ensure that children in placement are granted their personal rights, which are documented in their files. Children are encouraged to participate in extracurricular activities and can contact licensing authorities confidentially without fear of retaliation. They are treated with dignity and respect. LPA emphasized the importance of submitting Special Incident Reports and notifying the Community Care Licensing Division (CCLD) of any changes in the facility. The home meets all posting requirements for Small Family Home licensor and the Emergency Plan. Records Review LPA reviewed the following records during the inspection: · Client Records: No client records were reviewed as there are no clients in placed in the home. LPA obtained the LIC 500. · Staff Records: The home has Licensee, one adult and no staff. LPA reviewed both files and confirmed compliance with staff qualifications, CPR/First Aid certification, health screenings, and TB test results. LPA obtained the LIC 500. ·Background Clearances: All personnel have the required DOJ, FBI, and Child Abuse Index clearances. Interviews and Exit Meetings LPA conducted interviews with the Licensees. An exit interview was conducted, and a copy of this report was provided to Licensees. Inspection Findings: No deficiencies were observed during this inspection. The home remains in substantial compliance with licensing regulations.

met_with: Farisha Taylor & Evan Brown- Licensee


summary: Facility Evaluation

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Narrative:
On February 26, 2026, at 8: AM, Licensing Program Analyst (LPA) Cheri Wilkerson arrived at Taylor Small Family Home to complete the required Annual Licensing Inspection. LPA met with the Licensees, Farisha Taylor and Evan Brown, at the front door. The Licensees allowed LPA to enter the home and fully cooperated during the inspection. The home is licensed to provide care and supervision for two ambulatory children between the ages of 3 and 17 years old. At the time of the inspection, there were no children present in the home. The Licensees live in the home along with one additional adult and their 2 year old biological child. Facility Overview- The home is a single-story house with three bedrooms and two bathrooms. It also includes a living room, dining room, kitchen, laundry area, backyard, and a detached garage. Living Room: The living room is neatly furnished with two large sofas, a mounted flat-screen television, an electric fireplace, a large bean bag chair, and a portable air conditioning unit. The area was clean and free of clutter. Continued on page 2. The backyard includes a covered charcoal grill and a small storage container for a water hose. The yard was clean. There were no bodies of water, pools, or other hazards observed. The area appeared safe for children. The detached garage is kept always locked and is used only for storage. Children do not have access to this area. The garage was observed to be neat and clean. Bedroom 1: It is furnished with two twin-size beds, a storage unit for clothing, a television, a working light, and two windows that provide natural light and ventilation. The room was clean and organized, with enough space for safe movement. Bedroom 2: This room is for the Licensee's and biological child. It contains a toddler bed, a working light, windows, and a closet. Inside the closet are personal belongings, a locked medication box. Bedroom 3: This bedroom is occupied by Mother In Law. It is furnished with a queen-size bed, dresser, television, working light, windows, and a closet. All hazardous items were secured and inaccessible. The home has two bathrooms. One bathroom is located in the hallway, and the other is inside Bedroom 3. Both bathrooms contain a toilet, sink, and a combination shower and tub. The hot water temperature was tested and measured between 105- and 120- degrees. Hallway cabinets are used to store extra linens. Smoke detectors and carbon monoxide detectors were tested and found to be in working condition. Medications are stored in a locked box inside the closet of Bedroom 2 to ensure they are not accessible to children. Continued on page 3. Disinfectants and cleaning solutions are secured under the kitchen sink. A working telephone is available for children in care to use if needed. The First Aid Kit was inspected and found to be fully stocked. LPA observed that the home was clean, safe, and sanitary. All hallways, doorways, and walkways were clear and free from obstruction. The front yard and backyard were clean and well maintained. LPA reminded the Licensees of the importance of submitting Special Incident Reports (SIRs) on time and notifying the Community Care Licensing Division (CCLD) of any changes in the home, such as new residents or structural changes. The required licensing postings, including the Small Family Home license and Emergency Plan, were properly displayed. There was one client record reviewed. All forms were present. LPA obtained a copy of the LIC 500 form. The home consists of the Licensees and one adult. There are no additional staff members. LPA reviewed both personnel files and confirmed that all required documents were on file, including proof of qualifications, CPR and First Aid certification, health screenings, and TB test results, and current training. All adults living in the home have received required DOJ, FBI, and Child Abuse Index clearances. LPA conducted interviews with the Licensees during the inspection. An exit interview was held at the end of the visit. A copy of the inspection report will be emailed to Licensees. No deficiencies were observed during this inspection. The home is in substantial compliance with Community Care Licensing regulations at this time. End of Report.

met_with: Evan Brown & Farisha Taylor


facility_name: TENDER & KIND HEARTED FAMILY HOME

summary: Facility Evaluation

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Narrative:
On Wednesday January 18, Licensing Program Analyst (LPA) Linda Haynes met with Erikka Bonner via Microsoft Teams for a Component II interview. LPA requested a corrected copy of Admissions Agreement.. A pre-licensing visit will be scheduled upon receiving the fire clearance for the home as discussed with applicant. . Exit interviewed conducted. A copy of this report was emailed to applicant Erikka Bonner for signature. A signed copy will be placed in applicants file.

met_with: Erikka Bonner


summary: Facility Evaluation

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Narrative:
On February 8, 2023 at 12: PM, Licensing Program Analyst (LPA) Linda Haynes began a pre-licensing inspection for Tender and Kind Hearted Small Family Home license. LPA met with applicant Erikka Bonner who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients placed in the home. The applicant is applying to serve 3 clients ages 0 to 5. The home is a two story building with four bedrooms and three bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed and one crib, will sleep the licensee, and one infant client and has a master bathroom. · Bedroom #2 (Client's) was vacant had two twin beds, it will sleep two client's. · Bedroom #3 (daughter) had two twin beds, it sleeps the daughter. · Bedroom #4 (sons) had one full bed, it sleeps the son. · A great room/living room, kitchen, dining area, three bathrooms, a play room, a loft, an attached two car garage, storage closet, and the backyard. The Client's bedroom was arranged so that no more than two client's will be in the room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector in every bedroom and a carbon monoxide detector located above the clients bedroom door. The four smoke detectors and the carbon monoxide detector were checked, and they were working properly. The home's central air conditioning module was on the patio. The home's water heater was located inside the garage. Inside the facility there was a fireplace with a gate in the front. The appliances were in working order. : The client's files will be locked inside a cabinet in the in the play room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable foods. A proper storage of all food was discussed. A trash can for storage of solid waste had a tight-fitting lid and was present. The sharp knives are in a locked box above the stove. The medications are located in a locked cabinet in the kitchen. The hot water in the Master Bathroom measured to be 138.2 degrees Fahrenheit. The water temperature of the client bathroom 1 was observed to be 143.2 degrees Fahrenheit. The water temperature in bathroom number 2 measured to be 143 degrees Fahrenheit. The home's First Aid kit was accessible and is located in the play room. Two fire extinguishers were present in the home and located under the kitchen sink. It was observed to be properly charged but needs to be inspected by the fire department. Applicant stated there were no weapons/firearms in the home. There is no pool or other body of water at the home. The backyard where clients will have access to play was completely fenced. The following deficiencies were observed: The required forms needed prior to operation, were not posted at the time of this inspection. (Complaint Hot line) The fire extinguisher needs to be checked by the fire department. The first aid kit is missing scissors and a first aid manual The hot water was not between 105 degrees Fahrenheit and 120 degrees Fahrenheit. The request for a license will be forwarded to Licensing Program Manager for final approval once the Plan of Corrections are cleared. An exit interview was conducted. A copy of this report was provided to Erikka Bonner.


summary: Facility Evaluation

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Narrative:
On March 27, 2024 at 1: PM, Licensing Program Analyst (LPA) Linda Haynes, met with Licensee Erikka Bonner who granted access to the home. The purpose of this visit was to conduct day one of an annual inspection of the small family home. Presently there is two clients in placement and one client was present during the inspection. The home is two stories with five bedrooms and three bathrooms. Bedroom #1 has two beds, and sleeps one client Bedroom #2 has two beds, and sleeps one client and one daughter Bedroom #3 has one bed and sleeps the daughter Bedroom #4 has one bed and sleeps the son Bedroom #5 is the master bedroom, it is occupied by Licensee. Bedrooms are arranged so that there are no more than two clients per room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in a cabinet in the kitchen. Cleansers/chemicals are locked in the cabinet under the sink. Sharp knives are inaccessible and stored in a locked cabinet above the stove. The first aid kit is in the locked cabinet in the kitchen and contained all required supplies. There are no guns or weapons as stated by Licensee at this time. The hot water temperature in bathroom 1 (master) measured to be 113.3 degrees Fahrenheit, bathroom number 2 measured to be 107.9 degrees Fahrenheit, and in bathroom number 3 measured to be 106.5 degrees Fahrenheit. All facility smoke detectors and carbon monoxide detectors were checked and are in appropriate working order; fire extinguisher is properly charged and serviced. LPA reviewed 2 of 2 client files it contained all required documents. LPA asked Licensee about staff files Licensee stated that there were no staff. LPA interviewed Licensee. LPA observed a seven day supply of nonperishable and a two day supply of perishable foods. LPA will return to for a day two to interview 1 of 2 clients. Exit interview conducted and a copy of this report was discussed and left with Licensee.


summary: Facility Evaluation

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Narrative:
On April 3, 2024 at 11: AM Licensing Program Analyst (LPA) Linda Haynes began day two of Tender and Kind Hearted Family Home annual inspection. LPA interviewed one of one client's. Report delivered late do to technical difficulties.


summary: Facility Evaluation

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Narrative:
On June 12, Licensing Program Analyst (LPA) Linda Haynes arrived at Tender and Kind Hearted Family Home Small Family Home to speak with client in care about previous placement.


summary: Facility Evaluation

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Narrative:
On May 13, 2026, at 9: AM, Licensing Program Analyst (LPA) Gilbert Marquez arrived at facility. At 10:00 am LPA met with Licensee Erikka Bonner. The purpose of this visit was to conduct an unannounced annual inspection of the small family home. The facility is licensed to serve two non-ambulatory clients, and one ambulatory client. The facility is current with licensing fees. The facility is a two-story dwelling located on a quiet rural residential street. A physical plant inspection was completed and included the following checks: five bedrooms, three bathrooms, kitchen, living room, playroom, garage, and outdoor patio. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate shelf and closet space for client's belongings. All the required linens were on every bed. The three bathrooms and five bedrooms are arranged the following way: Bedroom #1 sleeps one client, and has two beds, and a closet and dresser Bedroom #2 is the master bedroom and sleeps the licensee, and is attached to bathroom # Bedroom #3 sleeps two biological daughters, and has two beds, and dresser Bedroom #4 sleeps two clients, and has two beds, and a dresser Bedroom #5 sleeps a biological son and has a queen bed, and dresser, closet and tv **Continued on LIC809C** **Continued from LIC809**Bathroom #1 is downstairs and has a toilet and shower Bathroom #2 is located upstairs, and has a toilet and a shower Bathroom #3 is located within the Master bedroom and is only used by Licensee All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in a cabinet in the kitchen. Cleansers/chemicals are locked in the cabinet under the sink. Sharp knives are inaccessible and stored in a locked cabinet above the stove. The first aid kit is in the locked cabinet in the kitchen and contained all required supplies. Licensee maintains an adequate supply of perishable and non-perishable foods to prepare the items on the posted menu. LPA observed a minimum seven-day non-perishable and two-day perishable supply of food. The water temperature was tested in downstairs bathroom #1 which measured 111.2 degrees Fahrenheit, and in kitchen which measured 108.2 degrees Fahrenheit, which is within the regulatory range of 105 degrees to 120 degrees Fahrenheit. The first aid kit was accessible to all residents and had all required supplies. All facility smoke detectors and carbon monoxide detectors were checked and are in appropriate working order. The fire extinguisher is properly charged and serviced. Facility grounds are clean and free of debris. There is adequate indoor and outdoor activity space. Emergency exits were free from obstruction. All required forms are posted including Grievance Procedures, Personal Rights, and the Emergency Disaster Plan. All client files are stored in a locked filing cabinet downstairs. LPA reviewed one client file (C1, see Confidential Names List LIC811) to ensure the client had all required documents per Title 22. Client file had education records, physical examinations, Needs and Services plans, and mental health notes. LPA also reviewed one client medication record. **Continued on LIC809C page 2** **Continued from LIC809C** All staff files are stored digitally. LPA reviewed two staff files (S1, S2) to ensure staff had all required documents such as criminal record clearance or exemption, health screening and tb test, drivers license, personnel record LIC501 or resume, and all required trainings. LPA conducted two staff interviews (S1 and S2) and one client interview was held at their school (C1). Per License, no firearms or weapons are allowed in the facility. No deficiencies were observed during today's inspection. An exit interview was conducted, this report was discussed, and a copy of this report and the Confidential Names List LIC811 was provided to Licensee Erikka Bonner. A copy of this report will be placed in the facility file.

met_with: Erikka Bonner, Licensee


summary: Facility Evaluation

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Narrative:
On September 13, Licensing Program Analyst (LPAs) Babatunde Aborchie, met with applicants Ashley Daniels 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, Notice of Incomplete Application, and additional correspondence to assist with the revisions needed for the application. Copy of this report was provided to applicant.

met_with: Ashley Daniels


summary: Facility Evaluation

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Narrative:
On October 2, 2023 at 11: AM Licensing Program Analyst (LPA) Babatunde Aborchie began a Pre-Licensing inspection for a Small Family Home license. LPA met with applicant Ashley Daniels who led a tour of the home. The facility was toured both inside and out with the applicant. Applicant is applying for a capacity of 2 ambulatory clients. The home consists of: Downstairs: Bedroom #1, It was furnished with a king sized bed. It is used as a guest room. There were also a family room, a living room, dining area, kitchen and one bathroom. Upstairs: Bedroom #2, Master bedroom. The room consisted of one king sized bed. It sleeps the applicant. Bedroom #3, The room was furnished with two twin beds. It will sleep two clients - vacant. Bedroom #4, The room was furnished with a desk and chairs. It is used as an office. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the office cabinet. Cleansers/chemicals were locked and stored in the garage cupboard. Sharp knives were inaccessible and stored in the locked kitchen cabinet by the cooking stove. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 110 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit were accessible with all required items, and it was in the office. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. Component III was conduct with the applicant Ashley Daniels. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee


summary: Facility Evaluation

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Narrative:
On December 9, 2025, at 10: AM, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced visit at Thera Small Family Home (SFH) to conduct an unannounced two year required inspection. LPA Lucas met with Administrator Ashley Daniels and completed a walkthrough of the facility. LPA began a physical plant inspection at 10: AM assisted by the Administrator, Ashley Daniels. During the physical plant inspection, LPA observed the facility to be a two-story facility. A formal entry with a dining room consisting of a couch and sofa and chair to the right of the facility and a closet to the left. There is also a facility license posted in the formal dining room. In the kitchen LPA observed postings of the food menu and Emergency Disaster Plan. There is a counter in center of kitchen with a sink with four chairs. The sink reads above 105 degrees Fahrenheit. There is a refrigerator/freezer, and a pantry. There is an adequate supply of perishable and non-perishable foods in the refrigerator and pantry. The living room consisted of one sofa and a formal kitchen table with two chairs and two benches. There is a restroom and an entrance to the garage. There is an office space used for storage. There is a restroom with restroom sink reading above 105 degrees Fahrenheit. The First Aid Kit is located in the office and consists of scissors, tweezers, and bandages. Upstairs there are three bedrooms. There is one restroom in the hallway, the restroom sink reads above 105 degrees Fahrenheit. The master bathroom has one bathroom with a sink reading above 105 degrees Fahrenheit. Client medication is stored in the master bedroom. There are other bedrooms for children, one bedroom is being occupied, and the other bedroom is empty with no children. The bedroom being occupied has one full/queen size bed, with appropriate linens, pillows, comforters, and a mattress in good repair. There is dresser drawer space for the client's clothing. Continued C There is a closet also used for clients clothing. LPA observed Community Care Licensing, Personal Rights and Activity Schedule postings. LPA inspected the outside physical plant and it was clean and free of debris. LPA reviewed Client files and Administrator files. Based on the annual required inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Ashley Daniels, and a copy of this report was given to the Administrator. Exit interview conducted. A copy of this report was provided to the Administrator, Ashley Daniels.

met_with: Ashley Daniels, Administrator


facility_name: TIMTOS SERVICES

summary: Facility Evaluation

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Narrative:
On August 26, 2025 at 10:25AM, Licensing Program Analyst (LPA) Adaleyci Caballero met with Applicants Adedayo and Akindare Shomorin for a Component II of the application process. Lpa a. Caballero went over revisions needed for the application prior to license. The pre-licensing inspection was scheduled for September 10, 2025. LPA gave a copy of the LIC 184, Notice of Application Revision, 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- Adedayo and Akindare Shomorin


summary: Facility Evaluation

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Narrative:
On September 10, 2025 at 9:50AM, Licensing Program Analyst (LPA) Adaleyci Caballero completed a pre-licensing inspection of Timtos Services Small Family Home(SFH). LPA met with Applicants Adedayo and Akindare Shomorin 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 three full bathrooms which are set up as follows: Bedroom #1- (applicants) It consisted of one California King bed for applicants and a play pen for a potential infant client. Bedroom #2- It consisted of two single beds. It sleeps two biological children. Bedroom #3- It consisted of two single beds. It sleeps two biological children. Bedroom #4- It consisted of two single beds. It will sleep two clients. Bedroom #5- It consisted of a single bed. It is utilized as a guest bedroom. A living room, kitchen, dining area, loft, three car garage, and a backyard. The garage will be utilized as a storage. The Facility Sketch and Emergency Disaster Plan were posted at this time. 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 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 seven smoke detectors and carbon monoxide were checked and working properly. The home's central air conditioning module was in the backyard. The water heater is located in the garage. The appliances were in working order. Sharp knives and chemicals were locked in a cabinet in the kitchen. Medications will be locked in a cabinet in the kitchen. The hot water was at a temperature of 116.4 degrees Fahrenheit. The First Aid Kit was accessible and placed on the kitchen counter. There was one fire extinguisher present in the home located in the kitchen. It was observed to be properly charged and inspected by the fire department. There are no firearms in the home. There is no pool or other bodies of water at the home. The backyard is fully fenced and free of debris. The home has one camera on the outside entrance door. Corrections to be made: Camera PIN 24-09 update to Program Statement Mattresses, linen, comforters, and pillows clean and in good repair. Telephone Service Drawer space for clients Client and Staff files locked and inaccessible Cash Resources shall be kept in a locked and secured location Visitation Policies, House Rules, and Personal Rights posted Component III was conducted. An exit interview was conducted, and a copy of this report was provided to applicants via email. Application will be forwarded to Licensing Program Manager Abdoulaye Traore for licensure once corrections are submitted.

met_with: Applicants-Adedayo & Akindare Shomorin


facility_name: TINNEY SFH

summary: Facility Evaluation

raw_content:
Narrative:
On October 8, 2025, Licensing Program Analyst (LPA) Cynthia Ramos met with Applicant Aissata Jalloh for to further assist the applicant with corrections. Applicants needs to make these corrections: B7- Program Description- Remove or correct a section as indicated. Add Table of content for the Program Statement with pages to match the table of content. LIC 500 to be corrected LIC 421- (Specify current income) Submit a new resume with the current employer LIC 501 for Applicant is missing. Copy of Identification, LIC 508D, and 508 for Mariama Karama Timbo. A copy of this report was provided to the applicant.

met_with: Applicant Aissata Jalloh


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2025, Licensing Program Analyst (LPA) Maryjane Perez arrived at Tinney SFH to conduct a pre-licensing inspection for an initial license. LPA met with applicant Aissata Jalloh who led a tour of the entire home inside and outside. The applicant is applying to serve two ambulatory children ages 6 to 17 years old. Currently there are no clients placed in the home. The home is a two-story building with four bedrooms, three bathrooms and a underground pool. The downstairs consisted of an entry way with a living room that had couches, a TV, and a storage closet for coats and shoes. There was a family room with more couches, a TV, and a screened fire place. The kitchen had a dining table with adequate seating and a locked cabinet for storing knives/ sharp objects, client files, and a first aid kit that was missing a thermometer and scissors. There was another cabinet that stored medications. The refrigerator was fully stocked. There was plenty of dishes and utensils for client use. There was a fire extinguisher that was operable. There was a closet that stored extra household items. Bedroom #1 was utilized for two ambulatory foster children and had one twin size bed, one full size bed, closet space, lighting, all required bedding, and an exit sliding door leading to the backyard. The bedroom was currently vacant and missing dresser space for client use. Bathroom #1 was fully functioning with a sink, toilet and shower. The water temperature was measuring 128.6 degree's Fahrenheit. Applicant understand that the water temperature should be between 105- 120 degrees Fahrenheit. The laundry room was locked at all times and stored cleaning compounds and laundry detergents. The upstairs consisted of a small loft area with a computer and desk. The desk had a locked drawer that will be used to store clients cash resources. Bedroom #2 was the master bedroom for applicant and had a Cal-King size bed, bathroom #2 that was fully functioning, and a balcony that is off limits to clients. The master bedroom was locked at all times. Bathroom #3 was fully functioning with dual sinks, a toilet, and shower. Bedroom #3 was utilized for applicants nephew and had a queen size bed and was fully furnished. Bedroom #4 was a guest bedroom and had a full size bed with closet space. There was hallway cabinets storing extra linens and blankets. The backyard had an underground pool with a five foot fence surrounding it however, the gate swung towards the pool instead of away from it. The gate was also not a self closing gate. There was a man-made pool cover, covering the pool that was not sturdy/ strong enough to hold up an adult. The side yard gate had a latch on the outside of the fence. The garage was locked at all times and stored one vehicle and extra household items. There were no weapons/firearms as stated by applicant. 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. There was a telephone service, all appliances were in working order, and all trash cans for storage of solid waste had tight fitting lids. Based on this inspection of the home, the facility will need the following corrections: First aid kit to have a thermometer and scissors in place Required postings such as Emergency Disaster Plan, Facility Sketch, Visitation Policy and Menu Dresser for client use in clients bedroom Water temperature to measure between 105-120 degrees Fahrenheit or hot water warning sign posted Backyard side gate to have latch on inside of the fence not on the outside Pool gate to swing away from pool, gate to be self closing and man-made pool cover to be removed. Obtain a lock box for clients refrigerated medications After corrections are completed, the applicant will notify LPA so that another inspection can be completed. Component III orientation was also completed this day of November 10th, 2025. An exit interview was conducted and a copy of this report, seven technical assistances (TA's), two technical violations (TV's) and letter of additional application revisions were provided to applicant Aissata Jalloh.

met_with: Applicant- Aissata Jalloh


summary: Facility Evaluation

raw_content:
Narrative:
On December 17, 2025, Licensing Program Analyst (LPA) Maryjane Perez arrived at Tinney Small Family Home (SFH) and met with applicant Aissata Jalloh who led a tour of the home. The purpose of this visit is to ensure corrections were made from the pre-licensing inspection done on November 10, 2025. The applicant is applying to serve two ambulatory children ages 6 to 17 years old. Currently there are no clients placed in the home. The home is a two-story building with four bedrooms, three bathrooms and a underground pool. The downstairs consisted of an entry way with a living room that had couches, a TV, and a storage closet for coats and shoes. There was a family room with more couches, a TV, and a screened fire place. The kitchen had a dining table with adequate seating and a locked cabinet for storing knives/ sharp objects, client files, and a first aid kit that had all required elements including a thermometer and scissors.There was another cabinet that stored medications. The refrigerator was fully stocked. There was plenty of dishes and utensils for client use. There was a fire extinguisher that was operable. There was a closet that stored extra household items. Bedroom #1 was utilized for two ambulatory foster children and had one twin size bed, one full size bed, closet space, lighting, all required bedding, and an exit sliding door leading to the backyard. The bedroom was currently vacant and now had a dresser for client use. Bathroom #1 was fully functioning with a sink, toilet and shower. The water temperature was measuring 114.4 degree's Fahrenheit. The laundry room was locked at all times and stored cleaning compounds and laundry detergents. The upstairs consisted of a small loft area with a computer and desk. The desk had a locked drawer that will be used to store clients cash resources. Bedroom #2 was the master bedroom for applicant and had a Cal-King size bed, bathroom #2 that was fully functioning, and a balcony that is off limits to clients. The master bedroom was locked at all times. Bathroom #3 was fully functioning with dual sinks, a toilet, and shower. Bedroom #3 was utilized for applicants nephew and had a queen size bed and was fully furnished. Bedroom #4 was a guest bedroom and had a full size bed with closet space. There was hallway cabinets storing extra linens and blankets. The backyard had an underground pool that was drained with no water and not in use and had a five foot fence, a gate that swung away from the pool. The gate was now a self closing gate however, there was a man-made pool cover, covering the pool that was not sturdy/ strong enough to hold up an elephant. The side yard gate now had a latch on the inside of the fence. The garage was locked at all times and stored one vehicle and extra household items. There were no weapons/firearms as stated by applicant. Based on this inspection of the home, the following corrections were made: First aid kit to has a thermometer and scissors in place Required postings such as Emergency Disaster Plan, Facility Sketch, Visitation Policy and Menu are posted Dresser for client use was in clients bedroom Water temperature measured between 105-120 degrees Fahrenheit at 114.4 degrees F. Backyard side gate had a latch on inside of the fence not on the outside Pool gate to swing away from pool, gate to be self closing Obtained a lock box for clients refrigerated medications The following corrections still need to be made: The man-made pool cover to be removed and a strong pool cover to be installed After corrections are completed, the applicant will notify LPA so that another inspection can be completed. An exit interview was conducted and a copy of this report was discussed and provided to applicant Aissata Jalloh.


summary: Facility Evaluation

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Narrative:
On January 29th, 2026, Licensing Program Analyst (LPA) Claudia Aguilera arrived at Tinney Small Family Home (SFH) and met with applicant Aissata Jalloh who led a tour of the home. The purpose of this visit is to ensure the pool corrections were made from the last inspection done on December 17th 2025. The applicant is applying to serve two ambulatory children ages 6 to 17 years old. Currently there are no clients placed in the home. The backyard has an underground pool that has been drained and contains no water and is not in use. LPA observed a five foot fence that surrounds the pool with a gate that is self latching and swings away from the pool. The following correction still need to be made: · There is a four inch gap between the home fence and the pool fence that must be closed. After corrections are completed, the applicant will notify LPA, once the correction is completed the application will be forwarded to Licensing Program Manager Abdoulaye Traore for licensure. An exit interview was conducted and a copy of this report was discussed and provided to applicant Aissata Jalloh.

met_with: Applicant, Aissata Jalloh


facility_name: TINSLEY SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Ignacia Villapudua-Soto conducted an unannounced Annual/Required Inspection at the facility on 7/27/21 beginning at 11: AM. LPA met with Genie Tinsley, Licensee, and explained the purpose of the inspection. This facility is licensed for four clients and currently serves four clients. The following conditions were observed: The home is clean, safe and sanitary throughout. The kitchen has adequate food and supplies. The backyard is clean and has adequate space. Cleaning supplies and hazardous materials are locked in the laundry room and inaccessible to clients. The water temperature is controlled by tank-less hot water heater that is programmable and is set to 115 degrees. There is a sprinkler system for fire suppression; smoke detectors and carbon monoxide were tested during today's inspection. There is the necessary fire extinguishers and first aid kits. All bedrooms of the home are equipped with adequate linens, television, desk, toys and clothing for clients. The client's have their own private space where they can take space to do their own actives and be creative. All required Licensing forms are posted and were observed during inspection. There is a vegetable garden outside along with fruit trees where the Licensee frequently acquires fruits and vegetables for the clients. LPA observed a sufficient amount of perishable and non-perishable foods in the kitchen. The food menu is posted on the refrigerator along with personal rights. Refer to page 2. Client files, staff files, medication logs and schedules were observed in the home and are within Regulation standards. Child files include Personal Rights, immunization records, medical consent forms, and all other required Licensing documents. All child care staff are current in CPR, first aid and records include all required Licensing documents. Record of client's safeguarded cash resources was inspected and up to standard. LPA interviewed clients and staff. LPA observed the children to be safe and happy. The licensee keeps Daily Communication Book with the teachers. The home is well maintained and meets or exceeds Licensing requirements. At this time no Title Regulations are being cited. Exit interview conducted

met_with: Genie Tinsley, Licensee


summary: Facility Evaluation

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Narrative:
On July 12, 2022, Licensing Program Analyst (LPA) Jessica Caplinger conducted an unannounced inspection to the facility for the purpose of the required inspection. LPA met with Genie Tinsley and Charles Tinsley, Licensees, and a walk through was conducted. The home currently has two clients. LPA observed the home to be clean, safe and sanitary. The kitchen has adequate food and supplies. LPA observed a sufficient amount of perishable and non-perishable foods in the kitchen. The food menu is posted. The backyard is clean and has adequate space. There is a vegetable garden outside along with fruit trees where the Licensee frequently acquires fruits and vegetables for the clients. Cleaning supplies and hazardous materials are locked in the laundry room and inaccessible to clients. The water temperature is kept at 115 degrees. There is a sprinkler system for fire suppression; smoke detectors and carbon monoxide were tested during today's inspection. There is the necessary fire extinguishers and first aid kits. All bedrooms of the home are equipped with adequate linens and clothing for clients. All required Licensing forms are posted and were observed during inspection. There are no firearms or bodies of water at the home. Medication is stored correctly and locked. Staff and client files are kept secured. A review of licensing information system was done on 7/5/22 indicating that all staff associated to the facility had DOJ, FBI and Child Abuse Index Check clearances. The home currently has four staff. LPA interviewed one staff and the one client present is non-verbal. LPA reviewed three staff and two client files. Review of staff files indicate that staff have current training in CPR, FA, AED, disaster preparedness and meet the educational and medical health requirements. Client files contained copies of personal rights, needs and services plans, medical history and consent form. One client file was missing a current authorization for psychotropic medication. This citation can be viewed on the attached form. CARE Tools completed. The following domains were completed: Physical Plant, Operations, Emergency Intervention, Disaster Preparedness, Client Files, and Staffing. One deficiency was noted at this inspection. Exit interview was conducted with Licensee and a final copy of this report will be emailed to the facility.

met_with: Genie Tinsley; Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On July 31, Licensing Program Analyst (LPA) Tina Thorn conducted an unannounced inspection of the facility for the purpose of the required inspection Using the CARE tool. LPA met with Genie Tinsley and Charles Tinsley, Licensees and a walk through was conducted. The home is licensed for 4 ambulatory clients and the facility currently has two clients who are regional center clients. The facility has 4 staff. LPA observed the home to be clean, organized, safe and sanitary and had age appropriate activities for the clients. The kitchen has adequate food and supplies. LPA observed a sufficient amount of perishable and non-perishable foods. The food menu is posted. The backyard is clean and has adequate space.There is a vegetable garden outside along with fruit trees where the Licensee frequently acquires fruits and vegetables for the clients. Cleaning supplies and hazardous materials are locked in the laundry room and inaccessible to clients. The water temperature is kept at 115 degrees. There is a sprinkler system for fire suppression; smoke detectors and carbon monoxide were tested during today's inspection. There are the necessary fire extinguishers and first aid kits. All bedrooms of the home are equipped with adequate linens and clothing for clients. All required Licensing forms are posted and were observed during inspection. There are no firearms or bodies of water at the home. Medication is stored correctly and locked. Staff and client files are kept secured. All staff associated to the facility had DOJ, FBI and Child Abuse Index Check clearances. LPA interviewed 2 staff. One client present is non-verbal. The second client was interviewed with respect to developmental ability. LPA reviewed three staff and two client files. Review of staff files indicate that staff have current CPR, First Aid and disaster preparedness training and meet the educational and medical health requirements. Client files contained copies of personal rights, needs and services plans, medical history and consent form. Both clients had an Individual Program Plan (IPP) on file created by the regional center. Clients were current on CHDP medical and dental exams . No citations were given on this date. Exit interview was conducted with Licensee and a final copy of this report will be emailed to the Licensee.

met_with: Genie Tinsley, Licensee and Adminstrator


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
Licensing Program Analysts (LPAs) Jean Stidman and Elena Gonzalez-Soto made an unannounced Annual inspection on 08/23/24 at 10am During the inspection LPA met with Genie Tinsley Licensee, who assisted with the inspection. LPA conducted a walk-through of the facility. There were no children and three staff present at the beginning of the inspection and during the inspection two additional staff and two children arrived. Number of staff interviewed two. Number of clients interviewed zero. LPA observed the facility is a single story home with 6 bedrooms, and 3 bathrooms LPA inspected and/or reviewed the following: Physical Plant Posting of license_X_ Personal Rights__X___ Disinfectants/Cleaning solutions inaccessible__X_Refrigerator Temperature at or below 45 degrees F 35 degrees Freezer Temperature at or below 0 degrees_0 degrees F Nonperishable Foods one week and fresh perishable foods two days minimum__X___ Menu present and posted__X__ Working telephone __X_ Carbon monoxide detectors __X_Smoke Detector _X__ First Aid Kit fully stocked_X__ Common Room available__X__ Dining area (enough seating, furniture good condition, not broke or damaged) __X_ Medication centrally stored, locked/inaccessible _X_ Hot Water between 105-120 degree F (Properly labeled if over 125 degree F115 degrees_ Fire Extinguishers purchased November 2023. Toilets wash basin, bath and shower fixtures in good repair/no leaks/hot water temperature _x Soap and Paper towels __X_ Laundry Facilities(available) __X__ Bedrooms-required linen and furnishings __X___ Motor Vehicle properly maintained, lights, tires, registration/insurance and working seat belts_X__ Facility free of vermin _X__ Bedroom (required bedding/furniture, furniture in good repair) __X___ Disaster Preparedness Fire Drills conducted and documented__x__ Disaster preparedness supplies verified __X___ Staffing/Volunteers Number of Staff files reviewed _five Criminal record clearances verified _five_ First Aid Certificate__five__ Client Records Number of Clients files reviewed three Individual Program Plan three Centrally Stored Medication and log reviewed three Psychotropic Medication and log reviewed three _Cash Resources__ three Facility citation violation of California Code of Regulations, Title 22, Division 6, regulation Licensee Duties and Responsibilities, Penal Code 11165.7(c)(1) Child Abuse and Neglect Reporting Act, 883070(b)(12) Child's Records, and 80068(b) Admission Agreements. The following items were reviewed for compliance: Annual fees, Emergency Disaster Plan LIC610C, Personnel Roster LIC500, and Facility Sketch. An exit interview was conducted and a copy of this report and appeal rights was left with Genie Tinsley Licensee.

Deficiencies:
83064: Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited above in five out of five staff files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/23/2024
Plan of Correction
1
2
3
4
80068(b): Deficient Practice Statement
1
2
3
4Based on record review, the licensee did not comply with the section cited above in three out of three children's files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/23/2024
Plan of Correction
1
2
3
4

met_with: Genie Tinsley Licensee

title:
Child's Records

83064 Licensee Duties and Responsibilities. The facilty is missing documentation of the licensee training on the reasonable and prudent parent standard; the staff training on cultural competency and sensitivity relating to sexual orientation, gender identity and gender expression, and best practices for providing adequate care to lesbian, gay, bisexual, and transgender children in out-of-home care; and the licensee and staff training on sexual and reproductive health care information, and the California Student Safety and Violence Prevention Act of 2000
This requirement is not met as evidenced by

title:
Admission Agreements

(b) The licensee shall complete and maintain in the client's file a Telecommunications Device Notification form (LIC 9158, 5/97) for each client whose pre-admission appraisal or medical assessment indicates he/she is deaf, hearing-impaired, or otherwise disabled.

This requirement is not met as evidenced by


summary: Facility Evaluation

raw_content:
Narrative:
On 07/23/2025 at 09:15 a.m. Licensing Program Analyst (LPA) Elena Gonzalez-Soto arrived at the facility to conduct a required annual inspection. LPA was greeted by Genie Tinsley, Licensee who assisted with the inspection. LPAs inspected and/or reviewed the following: Physical Plant: LPA observed the facility is a one-story home with five bedrooms, two bathrooms and one apartment attachment with one bedroom, one bathroom, a front yard and a backyard. LPA observed posting of personal rights, working carbon monoxide and smoke detectors, first aid kit, fire extinguisher purchased 11/2023, inaccessible cleaning solutions, food menu, appropriate amount of fresh perishable and non-perishable foods, hot water temperature of 115F, Fridge Temperature of 36. F, and freezer temperature of 1. F. Operations: LPA observed register of clients, posting of license, safeguards for client resources and valuables, Disaster plan and drill log, and plan of operation. Client Records: LPA reviewed three children's files and observed written consent forms, an account of cash resources and personal property/valuables, immunization records, signed personal rights, and individual education plans. Cont. on LIC809-C Staff Records: LPA reviewed five staff files and observed five out of five staff had a first aid certificate, criminal record clearance, personnel record, signed employee rights, health clearance, and applicable training. LPA conducted interviews with staff, interviewed one client in care and observed two clients in care. The following items were reviewed for compliance: Guardian Roster and LIC500. No citations or advisories were issued related to this inspection. An exit interview was conducted and a copy of this report was issued to Genie Tinsley, Licensee.

met_with: Genie Tinsley